Review of Management of Liver Trauma at Tertiary Level Hospital

Abstract

The liver is one of the most commonly injured organs in abdominal trauma. Recent advancements in imaging studies and enhanced critical care monitoring strategies have shifted the management from operative towards non operative conservative treatment. Direct suture ligation of bleeding parenchymal vessel, total vascular isolation with repair of venous injuries and the advent of control surgery have all improved outcome of hemodynamically unstable patient population. Anatomical resection of liver and use of atrio-caval shunt are rarely indicated. The aim of this study is to find out the mechanism and role of non-operative treatment in hepatic injuries. In this study 56 patients were diagnosed and identified from 302 patients of abdominal trauma. 43 patients (76.78%) were successfully treated by non-operative management. Eight patients (14.2%) were operated in emergency. Five (8.9%) patients died. Most common cause of death was shock and hemorrhage especially when person dies within few hours. In those cases death was delayed, cause of death was septicemia or associated injuries. It was concluded that hemodynamic status, not the grade injury dictate the management of liver injury.

Keywords: hepatic injury, hemodynamically, resuscitation, intra abdomen

Cite this Article

Surendra K. Kala, Ravi K. Mathur, Satyendra Pal Singh. Review of Management of Liver Trauma at Tertiary Level Hospital. Research and Reviews: Journal of Health Professions, 2015; 5(2): 11–17p.