Conservative Management in Blunt Liver Injury in Aldiwaniyah Teaching Hospital

  • Dr. Ali Abdul-Hussein Handoz M.B.Ch.B F.I.C.M.S, Teacher at medical college-AL-Qadysia university
  • Dr. Mohanad Gubari Zakuit M.B.Ch.B F.I.C.M.S. ( General Surgery ), Al- Diwaniya Health Directorate
  • Dr. Mohammed Hemzah Obayes Immunology Department of Medical Laboratories Techniques, Imam Ja'afar Al-Sadiq University, Al-Muthanna 66001, Iraq
Keywords: hepatic trauma, management, patients

Abstract

Background: Blunt hepatic trauma is common in abdominal injuries. This study was conducted in those patients of blunt liver trauma to assess the effectiveness of conservative treatment.

 Methods: fifty patients with blunt hepatic trauma were included in this study. Clinical assessment was done in all the patients. FAST and CT scan were also done. Patients with unstable hemodynamics who responded to fluid challenge and with stable hemodynamics were included in conservative management of liver trauma.

 Results: In this study 50 patients were analyzed, 5 patients were operated due to unstable hemodynamics while 45 patients treated conservatively. Average numbers of blood units transfused were 2-3 units and average hospital stay was 3-6 days. 

 Conclusions: The conservative treatment is safe option for blunt hepatic trauma patients in patients with stable hemodynamics. Intensive monitoring is essential as there may be failure in a few patients. The complication rate was minimum and no mortality.   

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Published
2023-05-22
How to Cite
Handoz, D. A. A.-H., Zakuit, D. M. G., & Obayes, D. M. H. (2023). Conservative Management in Blunt Liver Injury in Aldiwaniyah Teaching Hospital. Central Asian Journal of Medical and Natural Science, 4(3), 284-291. https://doi.org/10.17605/cajmns.v4i3.1521
Section
Articles