Presentation and current management of liver injuries patient in a tertiary care hospital

Dr Sanjay Kumar Verma; Dr Kumar Gaurav; Dr gautam Chandra

Volume : VII, Issue : XII, December - 2018

Presentation and current management of liver injuries patient in a tertiary care hospital

Dr Sanjay Kumar Verma, Dr Kumar Gaurav, Dr Gautam Chandra

Abstract :

Liver injuries occur as a result of blunt or penetrating abdominal injury. The liver is the most commonly injured organ in abdominal trauma.

Aim and Objective: To study the presentation and current management of liver injuries patient in a tertiary care hospital over three year�s period.

Type of study: descriptive epidemiology

Patients and methods: The patients with a diagnosis of liver injuries were admitted and managed in our hospital between 2014 to 2018 retrospectively. The patient were analysed with age, sex, aeitiology of injuries, management, mortality and morbidity.

Results: Out of 56 patients 42 (75%) were male and 14 (25%) were female. The male: female ratio was (3:1).The age of the patients ranged between 22 to 60 years with mean age of 38.45�8.75 years. RTA being most common types of modes of injuries and younger population are most vulnerable for liver injuries. Associated organ injuries observed in our study were,spleen(35%),thorax(38%) and long bone(12%).majority of patient were having Grade I,II and III liver injuries. (28.57%,20.42% and 32.12% ) respectively.No patient with Grade V and VI liver inuries were found in our study.In our study peritoneal lavage and hemostatic agents was the commonest procedure performed.

Conclusion:

Liver injuries remain a prime cause for hospitalisation in emergency. It is also one of the major causes for mortality and morbidity and long stay hospitalisation. Liver injuries predominantly affect the younger population and road traffic accident remain prime cause .Grade I ,II were successfully managed with peritoneal lavage and hemostatic agents.