Damage control surgery for grade IV blunt hepatic injury with multiple organ damage in a child: a case report.
Jun SomaDaisuke IshiiHisayuki MiyagiSeiya IshiiKeita MotokiHidemasa KawabataShunta IshitoyaMasahiro HagiwaraNaohiro KokitaMasatoshi HirasawaPublished in: Surgical case reports (2021)
The DC strategy was effective in children with severe blunt hepatic injury. We opted to perform DC surgery because children have less hemodynamic reserve than adults, and we believe that using this strategy before the appearance of trauma triad of death could save lives and improve outcomes. During conservative management, it is important to adopt a multistage, flexible approach to achieve a good outcome.