- Adhesion induced tear of the liver capsule (incl. the region of the round hepatic ligament)
- Adapt the liver with sutures, stop bleeding with fibrin sealant or seal off with fibrin-coated collagen fleece.
- Peripheral and central bile duct injuries
- Drain. In case of injury to common hepatic duct re-anastomosis should be attempted. In this case, the suture line must be splinted for some time with a T-tube. If everything else fails, a biliodigestive anastomosis should be considered. Such a procedure requires extensive expertise! It is best then to transfer the patient to a center with such experience!
- Injury to right branch of hepatic artery proper
- Requires vascular surgery
- Injury to adjacent hollow viscus
- Simple closure by suture