Complex Hepatic Injuries: an Audit from a Tertiary Center

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Thiagarajan SrinivasanRakesh Kochhar

Abstract

Nonoperative management is being increasingly employed in the management of blunt hepatic injuries. We analyzed patients with complex hepatic injuries over a period of 10 years (1996-2006). Two hundred and ten patients with blunt hepatic injury were admitted and 103 patients had complex liver injuries. The predominant mode of injury was road traffic accidents in 91.2%. The grade distribution of liver injuries was grade III (72.8%), grade IV (23.3%) and grade V (4.9%). Twenty-four patients (23.3%) underwent surgery for persistent hemodynamic instability, persistent fall in hemoglobin level, bile leaks and intra-abdominal collection with sepsis. Associated intra-abdominal injuries were present in 19.4%, and 58.4% had associated extra-abdominal injuries. The operative procedures included hepatectomy (1), suture hepatorraphy (12), T-tube drainage for bile duct injuries (5), perihepatic sponge and gel foam packing (9), liver abscess drainage (3), and resection and debridement of liver tissue in six patients. The mortality and morbidity in this series was 10.7 and 56.4%, respectively. Multiorgan failure was present in 5, single organ failure in 37, sepsis in 24, biliary complications in 16 and intra-abdominal collection in 17 patient...Continue Reading

References

Apr 1, 1989·The Surgical Clinics of North America·D V Feliciano
Apr 1, 1981·The Journal of Trauma·D V FelicianoG L Jordan
Mar 1, 1995·The Journal of Trauma·E E MooreH R Champion
Sep 1, 1994·American Journal of Surgery·M A CroceK A Kudsk
Jan 1, 1993·The British Journal of Surgery·W SchweizerL H Blumgart
Mar 14, 1998·Journal of Pediatric Surgery·S Stylianos
Jun 2, 1998·The British Journal of Surgery·E H CarrilloH C Polk
Jan 27, 2000·The Journal of Trauma·J A AsensioT V Berne
Sep 6, 2000·Annals of Surgery·J David RichardsonL M Flint
Jan 22, 2003·Langenbeck's Archives of Surgery·Chi-Hsun HsiehYu-Chun Wang
Apr 6, 2004·The Surgical Clinics of North America·Donald D Trunkey
Jun 25, 2005·Surgery Today·David S FinleyDavid K Imagawa
Nov 5, 2005·Surgery·Wendy L WahlSaman Arbabi
Dec 31, 2005·The Journal of Trauma·Rosemary A KozarFrederick A Moore
May 17, 2006·Archives of Surgery·Rosemary A KozarJohn B Holcomb

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Citations

Oct 13, 2011·World Journal of Surgery·Ari K LeppäniemiLauri E Handolin

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