Usman Ali, Abdus Samad Khan.
Hepatic trauma management in a tertiary care hospital.
J Surg Pak Jan ;12(1):27-30.

Objective: To document experience of managing patients with hepatic trauma. Patients & Methods: This study was conducted in Surgical “A” unit, Lady Reading Hospital, Peshawar from August 2003 to September 2005. It was a descriptive study and all the patients were operated in emergency department. Results: A total of 364 trauma patients were received and among those 48 patients had liver trauma. 75% of patients had penetrating and 25% blunt trauma. Most of the patients had grade III liver injuries. There were no grade V and VI injury. Repair with perihepatic packing for liver injuries remained the most frequently performed procedure (41% of patients). Conclusion: In a stable patient blunt trauma liver can be managed conservatively by serial examinations and investigations with emergency laparotomy facilities at hand. Perihepatic packing and damage control surgery is the valuable procedure at hand. Increasing grades of liver injuries leads to increasing morbidity and mortality.

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