HighlightsLiver injuries can be managed conservatively but operative management is needed once patients are hemodynamically unstable.Peri-hepatic packing is considered a life-saving procedure in complex liver injuries; however, it is not very efficient in case of significant liver injury.Intra-operative liver bed bleeding was initially controlled by high beam cauterization, surgicel and some Argon beam.The liver was later wrapped with a polyester mesh with collagen barrier; the mesh was wrapped completely over the right lobe of the liver and was sutured to itself and to the diaphragm surface as well as to the falciform ligament.Using an absorbable mesh on a traumatized and fragmented liver appears to be a safe and effective approach to high grade liver injury.
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