This is an automatically translated article.
Video content is professionally consulted by Master, Doctor Dao Duc Dung - Center for Gastroenterology - Hepatobiliary - Urology - Vinmec Times City International Hospital
Liver injury often manifests as bruising, rubbing on the right abdomen and chest, right upper quadrant pain, and pain when pressing on the right rib. Previously, liver injury was considered as a solid organ rupture requiring emergency surgery to deal with the injury. Therefore, many small lesions or bleeding that have stopped bleeding are still unnecessary surgical intervention.
Recently, thanks to the development of imaging tools and surgical resuscitation techniques, the assessment of damage in liver injury is more accurate. Since then, the treatment of liver injury has changed a lot, not only saving the patient's life but also preserving the liver.
According to Master, Doctor Dao Duc Dung - Vinmec Hospital, people with multiple injuries, especially injuries to the right abdomen, are very likely to experience liver damage. When the liver is damaged, it can also cause damage to other organs.
The doctor can evaluate liver injury by direct methods such as:
Examination of the abdominal wall; See if the abdomen is distended; Abdominal ultrasound ; Assess circuit condition. In the past, liver injury was often treated surgically because there were not enough facilities to diagnose the extent of the injury. Currently, 80% of patients with liver injury do not need surgery but are replaced by conservative treatment (transfusion, liver tonic and other support). Patients can treat liver injury conservatively for 2 weeks at the hospital and then continue to monitor and treat at home.
Liver injury surgery is indicated in the following cases:
Hemorrhagic shock with trauma to special organs such as spleen, kidney, pancreas... Liver injury with multiple hollow organ trauma (intestine, stomach, bladder) ...) Liver injury stage II (time II) In some cases, liver injury can be operated laparoscopically if the patient is not in shock or blood loss. At Vinmec Hospital, many safe laparoscopic liver injury surgeries have been successfully performed. If you suspect that you may have suffered a liver injury after an accident, you can visit Vinmec Hospital for timely examination and treatment by doctors.
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