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Hepatic trauma: experience of 110 cases
P A Shah1, S S Kulkarni, N Joshi
1Department of Surgery, L.T.M. General Hospital, Sion, Bombay, India.
Injury
|May 1, 1993
Summary
This study analyzed 110 patients with hepatic injuries, primarily from blunt trauma. Surgical interventions varied, with a notable 18% mortality rate and common complications like intra-abdominal abscesses.
Area of Science:
- Trauma Surgery
- Hepatobiliary Surgery
- Surgical Outcomes
Background:
- Hepatic injuries pose significant challenges in trauma care.
- Understanding treatment strategies and outcomes is crucial for improving patient management.
Purpose of the Study:
- To review the management and outcomes of patients with hepatic injuries treated at a major urban trauma center.
- To identify common injury mechanisms, treatment modalities, and associated complications.
Main Methods:
- Retrospective analysis of 110 patients with hepatic injuries admitted between June 1988 and December 1991.
- Categorization of injuries based on mechanism (blunt trauma predominant).
- Classification of treatments into non-operative, simple surgical procedures, extensive surgical procedures, and interventional radiology.
Main Results:
- Blunt trauma accounted for 78% of injuries.
- Simple surgical interventions (hepatorrhaphy, hemostatic agents, drainage) were used in 72% of cases.
- Extensive procedures were performed in 23% of cases, with an overall mortality rate of 18%.
- Postoperative complications included intra-abdominal abscess (7%), coagulopathy (5%), and biliary leak (3%).
Conclusions:
- Hepatic injuries, predominantly from blunt trauma, require diverse management strategies.
- While simpler interventions are common, more complex procedures are sometimes necessary.
- Mortality and complication rates highlight the severity of these injuries and the need for effective trauma care protocols.