Application of a net around the severely injured liver : A case report.

ABSTRACT

An anternative modality in control of severe bleeding form liver injury by using a surgifix compression was presented. The patient was an 8 year old boy with severe laceration of the liver from blunt abdominal trauma. Only one unit of blood could be cross-matched for him due to Ante Lewis and Rh-blood group. Laparotomy was performed, the liver fragments were pulled together with a net (PresnetR) and reinforced with abdominal swab packing. The packing and the net were removed three days later. There was no further bleeding and the lacerated liver began to heal. The postoperative period was uneventful. He was discharged home after 16 days in hospital.