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PRESENTATION OF LIVER TRAUMA AND ITS MANAGEMENT AT TERTIARY CARE UNIT, GUJRANWALA, PUNJAB, PAKISTAN

Dr Liaqat Ali Zia, Dr Muhammad Khalid, Dr Hafiz Muhammad Khizar Nawaz Cheema, Dr Sobia Zafar, Dr Sufyan Zia, Dr Ahsan Iqbal

Objective: To determine and document the presentation and outcome of surgical management of liver trauma. Methods: This study has been performed to highlight the presentation and management of liver trauma in patients of different gender and age group presented surgical emergency in DHQ teaching hospital Gujranwala in Pakistan as a Retrospective study. This study was conducted from January 2016 to July 2019. The study included all adult patients of either gender who presented with in surgical emergency with liver trauma and underwent any management either conservative or surgical. Convenience sampling technique was employed. The data were collected through a Performa and analyzed using SPSS 16. Results: Out of 23 cases of liver trauma, 22 (95.7 %) were males and 01 (5.3%) were females. Blunt Trauma abdomen was the leading cause (n=11; 47.8%) of injuries. There were 07 patients with grade I & II injury; 11 patients were with grade III injury and 05 patients with grade IV injury. 69.6 % of patients were presented with hemodynamic instability (n= 16) Perihepatic packing was the commonest operative procedure performed(n=11;47.8%). No patient was expired during hospital stay and 2 of patients were referred to specialized center for management. Complications only occurred in 8.7% (n=2) patients. Conclusion: Liver trauma constitutes an important cause of emergency hospitalization, morbidity and in-hospital mortality in our population. It predominantly affects the younger males and road traffic accidents are the leading cause. Majority of the patients are successfully managed with perihepatic packing. Keywords: Liver trauma, Perihepatic packing, Damage control surgery

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