Omental liver packs
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At the time the article was created Jose Ignacio Aragon had no recorded disclosures.View Jose Ignacio Aragon's current disclosures
At the time the article was last revised Henry Knipe had no recorded disclosures.View Henry Knipe's current disclosures
Omental liver packs have been used in the surgical management of traumatic lacerations and hepatic lobectomy. Knowledge of this surgical technique could avoid misinterpretation or confusion of these findings with true postsurgical complications.
This technique consists of mobilizing a portion of the omentum and its vascular pedicle into the liver area of disruption. The pedicle flap of omentum is packed in the disrupted area, with oversewing of the liver edges and placement of appropriate drainage catheters.
The omental pack appears as an area of decreased attenuation with regular/irregular borders. In the interior of the packaging following intravenous contrast administration, appear some linear strandings that represent the opacified vessels within the omentum.
This technique has a risk of postoperative complications such as abscess, biloma or hematoma 2.