Abdominal Key

Fig. 3.1 The Mattox maneuver of left-sided visceral rotation to expose the proximal abdominal aorta Alternatively, the aorta may be approached through the lesser sac. The lesser omentum is widely…

Fig. 14.1 Admission CT scan of a 39-year-old man, after hepatorrhaphy, with an extensive injury to the right liver. Right hepatic artery clipping and tube cholecystostomy were previously done at…

Fig. 11.1 Omental pack. A graft of viable omentum is pulled through the penetrating tract in the liver Penrose pack. Described by Bluett et al. [4], it involves using a…

Fig. 4.1 Positive FAST showing fluid in the hepatorenal space In patients with penetrating trauma, FAST is less sensitive, and a negative FAST should not be used as the sole…

Fig. 7.1 Hepatic anatomy Under most circumstances, the right hepatic vein is the largest of the three and enters the superior surface of the vena cava on the right superior…

Fig. 6.1 Manual compression of the liver to temporarily control bleeding: by bimanual pressure on either side of the laceration (a), pressure between the thumb and fingers (b), compressing the…

Fig. 8.1 Anatomy of the portal triad The liver is a particularly unique solid organ, receiving a dual blood supply from the portal vein and the hepatic artery. The liver…

Fig. 9.1 Juxtahepatic (or retrohepatic) vena cava is in direct contact with the posterior aspect of the liver The additional methods available to evaluate the abdomen include focused abdominal sonography…

Fig. 1.1 The intrathoracic location of the liver and the inferior location of the right kidney. 4–10 indicate rib numbers The protected position of the liver in the recesses of…

Fig. 12.1 A folded plastic drape is placed between the surface of the liver and the folded dry laparotomy pads used as perihepatic packing (a) anterior view (b) saggital view…