Vol. 5, Issue 12, Part A (2019)

Aims and Objectives: to estimate the incidence of liver trauma and grade their severity among patients attending casuality department, at Osmania general hospital, Hyderabad and to evaluate the surgical options and common surgical hemostatic procedures in the management of liver trauma.

Results: In the present study the maximum number of patients are in the age group of 21-30 yrs (42%). Survival rate of patients who were operated within 24hrs of injury was 69. 22 % higher than patients who were operated after 12hrs of injury. Death rate of patients who presented with hemodynamically unstable was 47. 5%higher than the patients who presented with hemodynamically stable. The most common grade of injury was grade II constituting 30%. Survival rate of patients with intra operative findings of grades I, II, and III injuries was 69% higher than patients with Grades IV, V and VI injuries. More than one surgical technique was used in a single patient to secure surgical hemostasis. 86% (43/50) hepatorrhapy with or without gel foam augumentation is for surgical hemostasis. Perihepatic packing is used in 10% (5/50) of patients.

Conclusion: This prospective study of 50 patients done during a time span of 30 months from june 2007 to November 2009 with the aim of presenting the incidence, grade of the liver injury and various surgical methods employed. Incidence – 22. 3% of abdominal trauma resulted in liver injury. Age incidence – 42% of patients (21/50) presented to us are in the age group of 21-30 yrs and 28% (14/50) of patients are in the age group of 11-20yrs. Those patients who were in younger age goup had good outcomes. Various surgical techniques like hepatorraphy with and without gel foam augumentation, peri hepatic packing, resectional debridement and resectional procedures are employed in the surgical management.