The role of the conservative management in blunt liver trauma

Muthanna Medical Journal
Volume 4, Issue 2, November 2017, Pages 126-134
http://dx.doi.org/10.18081/2410-4590/2017-126-134

Research Article

Ali Abdul-Hussein Handoz¹*, Zaid Ali Majeed²

¹* Correspondence author: handozsurgeon@yahoo.com: AL-Qadysia university
²Department of Surgery, College of Medicine, University of Al-Muthanna
Received 30 July 2017, Accepted 12 November 2017, Available online 24 December 2017
This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2017 AH

Abstract

Blunt hepatic trauma is common in abdominal injuries. This study was conducted in those patients of blunt liver trauma to assess the effectiveness of conservative treatment. Ffifty patients with blunt hepatic trauma were included in this study. Clinical assessment was done in all the patients. FAST and CT scan were also done. Patients with unstable hemodynamics who responded to fluid challenge and with stable hemodynamics were included in conservative management of liver trauma. In this study 50 patients were analyzed, 5 patients were operated due to unstable hemodynamics while 45 patients treated conservatively. Average numbers of blood units transfused were 2-3 units and average hospital stay was 3-6 days. The conservative treatment is safe option for blunt hepatic trauma patients in patients with stable hemodynamics. Intensive monitoring is essential as there may be failure in a few patients. The complication rate was minimum and no mortality.

Keywords: Blunt hepatic trauma; Abdominal injuries; Hemodynamics

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