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Minerva Chirurgica 2006 June;61(3):277-81

language: English

A single proposed algorithm for the surgical treatment of hepatic hemorrhage

Frezza E. E. 1, Dissanaike S. 1, Santana D. 3, Wachtel M. S. 2

1 Division of General Surgery Department of Surgery Texas Tech University Health Sciences Center Lubbock, TX, USA
2 Department of Pathology Texas Tech University Health Sciences Center Lubbock, TX, USA
3 Division of Vascular Surgery Department of Surgery Lubbock, TX, USA


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Angiographic embolization safely and effectively controls hemorrhage from the liver. Contrasting algorithms and protocols have, however, created confusion as to how and when to use this procedure. After performing a Medline search, a proposed protocol for the use of angiographic embolization was created.
This algorithm, which focuses on general hepatic response to injury, not to any particular disease, is best applied in busy tertiary hospitals. The generalized applicability of the proposed protocol may allow for a more uniform, easily remembered, and effective treatment of liver hemorrhage.

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