الفهرس 
Hepatic surgical anatomyOnly 14 pages are availabe for public view
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Abstract
Non operative management (NOM) of liver injury hasgenerally become the most frequent treatmentalthough urgent surgery continues to be the standard for hemodynamicallycompromised patients.
Management of liver trauma in cirrhotic patientremains a challengeto the surgeon.Cirrhosis is an independent risk factor for increased mortality and higher complication rate following trauma.
Cirrhotic patient with blunt abdominal trauma would result in high operative rate, low salvage rate of nonoperative management, high surgical mortality and morbidity rate.
Early detection of cirrhosis in trauma patient,early and aggressive correction of coagulation parameters, andearly appropriate nutritional support will improve the management of liver trauma in cirrhotic patient.
The outcomes of patients with cirrhosis who undergo surgery could be improved by early preoperative management of comorbidities in cirrhotic patients,proper surgical techniques and anesthetic care, careful postoperative follow up and monitoring.