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SAS Journal of Surgery | Volume-3 | Issue-12
Liver Trauma – A Study of Outcome, Complications and Associated Mortality
Ravindra M Kattimani
Published: Dec. 30, 2017 | 166 87
DOI: 10.21276/sasjs.2017.3.12.4
Pages: 315-321
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Abstract
This was study under taken to review outcome, complications and associated mortality of liver trauma in surgical unit of teaching Hospital, LTMMC, Mumbai between January 1997 to May 1998. It was retrospective study. All the case records of 60 cases of liver injuries following trauma admitted in trauma care unit were included in the study. All cases of liver injuries were considered as diagnosed by operative findings, ultra-sonography or CT scan findings, post mortem findings. All cases of penetrating injuries underwent emergency exploratory laparotomy. Clinically Stable patients were evaluated further imaging techniques. 25% cases underwent conservative treatment and & 75 % underwent laparotomy. Mortality rate was high in higher grade of liver injury. It is concluded from the study that liver is the most commonly affected organ and the cause is blunt abdominal trauma. Non operative treatment has evolved as treatment of choice in hemodynamically stable patients and patients with lower grade of liver injury, and is less mortality