| Abstract: | A case observation of a severe closed hepatic injury, treated using right-sided hemihepatectomy after primary suturing with tamponade performance and angiographic embolization of right hepatic artery, is presented. The literature review for this problem is presented with special attention to modern approaches in the treatment of the injured persons, suffering hepatic trauma. Various methods of treatment of hepatic injuries are analyzed as well as indications for their usage and efficacy. The tactics of conservative treatment in trauma of IV-V severity grade in the injured persons in conditions of a stable hemodynamics state presence was elaborated. The interventional radiology methods are more widely used in the patients, to whom conservative therapy is conducted or while their stable state is achieved, using a tamponade performance. While unstable state presence during the surgical treatment conduction a tendency is observed to use a "damage control" tactics. |
