ResearcherID - CLICK HERE Scientific Journal Impact Factor (SJIF-2020) - CLICK HERE

EVALUATION OF LIVER INJURIES IN VICTORIA HOSPITAL BAHAWALPUR

1 -Dr.Mavra Naeem, 2 -Dr.Ayesha Islam, 3 -Dr.Zaheer Iqbal

Objective: To determine the major injury patterns, outcomes and management options of liver trauma in a tertiary care setup in Victoria Hospital Bahawalpur . Study Design: Retrospective / clinical study Place and Duration of Study: This study was conducted at the Department of surgery in Victoria Hospital Bahawalpur from 1 st Jan 2017 to 31st December 2017 Materials and Methods: It consisted of 60 patients with liver trauma, 57 males and 3 females, with the mean age 31.46 years. Data regarding sex, mode, age and type of injuries was analyzed. The inclusion criteria was age group equals or more than 13 years of age with diagnosis of liver trauma, patients penetrating and non-penetrating traumatic injury to liver, patients with blunt and sharp injury to liver. The exclusion criteria includes all the patients’ w h o a r e less than 13 years of age, a l s o patients with pre-existing liver disease i.e. tumors, cirrhosis, hepatitis and patients who have previously undergone hepatic surgery. Results: The incidence of liver trauma due to non-penetrating injuries was 46(76.6%), due to penetrating injuries 14 (23.3%), In all cases of blunt injuries,40 patients (86.9%) were due to road traffic accidents, and 6 patients (13.0%) were due to assaults. There were 16 patients who were hemodynamically stable, who were managed medically with strict vital monitoring, input/output charting and repeated examinations.44 patients who were hemodynamically unstable despite aggressive resuscitation and were managed surgically. 9 patients (20%) were treated by simple suture, 15 patients (34%) were treated by suture and perihepatic packing, and20 patients (45%) were treated by perihepatic packing. The patients who underwent perihepatic packing were re- explored after 48 hours. T h e i r abdomen was washed, drains were put in and abdomen was closed permanently. Conclusion: The most common, non-penetrating liver injuries (77.0%) in our population especially due to road traffic accidents (67.0%). The provital role of surgical management has been saving life where the patient is hemodynamically unstable.

FULL TEXT