Methods Used in Controlling Liver Hemorrhage; A Review Article

Appropriate and fast hemostasis in parenchymatous organs is hard to achieve، especially in controlling hemorrhage of the liver. The main problem is to stop the oozing bleeding from the sinusoidal structure، where the vessels are too small to be ligated. The number of liver resections is on the increase for effective oncological therapies and metastectomies. However، effective control of hemostasis during hepatic resection is difficult، especially in cirrhotic patients، and in case of trauma، where uncontrollable hemorrhage can occur. Furthermore، morbidity associated with adverse events is still relatively high because of the amount of blood loss combined with the length of the operation. Therefore، controlling liver bleeding still remains a big challenge for surgeons. Many different surgical and non-surgical techniques have been developed to control liver bleeding. In this study، we survey ways of controlling liver bleeding.