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Information Journal Paper

Title

A STUDY OF 73 PATIENTS WITH LIVER TRAUMA

Writers

BOSKABADY M.H. | KIANI S.

Pages

 Start Page 255 | End Page 262

Abstract

 Introduction: LIVER is one of the most injured organs in TRAUMA. We evaluated and grouped the degree of LIVER TRAUMA and management of each group.Material and Methods: 73 patients with LIVER TRAUMA admitted in sugery departement from 1992-2002.The patients informations were written in special forms.Results: 58 male and 15 female, mean age of 30 years. (6-68 years) presenting from 1992- 2002 were reviewed. There were 29 cases of penetrating injury and 44 cases of blunt TRAUMA. 7 patient were successfully managed without operation (5 with blunt injury) and were discharged after a mean hospital stay of 7 days. 51 cases were classified as group A (grade I and 2) and were managed by suture (with or without drainage), with 3 deaths. 15 cases were classified as group B (grade 3 and 4) and underwent one or more of the following: peri hepatic packing, resectional debridement and hepatotomy with direct suture ligature. 6 of these died from uncontrolled hemorrhage.Conclusion: Judicious clinical assessment and radiological monitoring may reduce the number of unnecessary laparatomies.

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