Closed liver injuries

An experience with treatment of 50 patients having closed hepatic injuries is analysed. The use of instrumental methods of exploration (laparoscopy and laparocentesis) facilitates to establish the diagnosis and shortens considerably the time of preoperative examination of patients. Suturing of the hepatic wound with its pedicled omentum tamponade is the principal type surgery. The postoperative mortality was 29.6 per cent.