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SHS investigation development is considered from the geographical and historical viewpoint. 3 stages are described. Within Stage 1 the work was carried out in the Department of the Institute of Chemical Physics in Chernogolovka where the scientific discovery had been made. At Stage 2 the interest to SHS arose in different cities and towns of the former USSR. Within Stage 3 SHS entered the international scene. Now SHS processes and products are being studied in more than 50 countries.
Abstract
• Excessive intraoperative blood loss and the potential need for blood transfusion are major problems in hepatic resection for liver tumors.
• Decrease in blood loss is a goal in liver surgery, and several technical developments have been introduced for this purpose, such as the ultrasonic dissector, the water jet, the harmonic scalpel, the Ligasure®, and the tissue link dissecting sealer.
• Other advances in operative techniques have also contributed to reducing blood loss during liver transection: better determination of the liver transection plane with the use of intraoperative ultrasound, and better hepatic vein flow control (inflow and outflow) as well as strict central venous pressure control.This chapter aims to outline and overview the surgical techniques currently used in liver surgery.
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Authors:Bentham Science Books