Liver trauma: A 10-year experience

✍ Scribed by T. G. John; J. D. Greig; A. J. Johnstone; Mr O. J. Garden

• Publisher: John Wiley and Sons
• Year: 1992
• Tongue: English
• Weight: 624 KB
• Volume: 79
• Category: Article
• ISSN: 0007-1323
• DOI: 10.1002/bjs.1800791238

✦ Synopsis

is reviewed. There were 29 cases of penetrating injury and 44 of blunt trauma. Seven patients were successfully managed without operation @ve with blunt injury) and were discharged after a mean hospital stay of 8 days, Fifty-one cases were classijied as simple injuries (grade I or 11) and were managed by suture (with or without drainage) or required no intervention, with three deaths. Fifteen cases were classijied as complex injuries (grade 111 or I V ) and underwent one or more of the following: perihepatic packing, resectional debridement, hemihepatectomy and hepatotomy with direct suture ligation. Six of these patients died,from uncontrolled haemorrhage. The continued use of suture for simple injuries arzd of resectional debridement andlor packing for complex injuries is supported. Judicious clinical assessment and radiological monitoring may reduce the number of unnecessary