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Hepatic trauma: an Indian experience

P Shah1, S Mohanty, S Vishweshwar

  • 1Department of Surgery Lokmanya Tilak Municipal Medical College and General Hospital, Sion Bombay, India.

International Surgery
|July 1, 1995
PubMed
Summary
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This study analyzed 230 patients with hepatic injuries, finding blunt trauma most common. Treatment varied, with a 19% mortality rate and common complications like abscesses and coagulopathy.

Area of Science:

  • Trauma Surgery
  • Hepatobiliary Surgery
  • Emergency Medicine

Background:

  • Hepatic injuries pose significant challenges in trauma care.
  • Understanding treatment patterns and outcomes is crucial for improving patient management.

Purpose of the Study:

  • To review the management and outcomes of patients with hepatic injuries.
  • To identify common injury mechanisms, treatment modalities, and complications.

Main Methods:

  • Retrospective analysis of 230 patients with hepatic injuries treated between 1989 and 1993.
  • Data collected on injury mechanism, surgical approach, operative procedures, and outcomes.
  • Categorization of surgical interventions into simple and extensive procedures.

Main Results:

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  • Blunt trauma accounted for 67% of injuries.
  • Nonoperative management was used in 8% of patients.
  • Mortality rate was 19%, with intraabdominal abscesses (6%) and coagulopathy (5%) as frequent complications.

Conclusions:

  • Hepatic injuries require diverse management strategies.
  • Early identification and treatment of complications are essential for reducing mortality and morbidity.