Presentation and Management of Hepatic Trauma at Mayo Hospital

Abstract

To find out the pattern, severity and outcome of hepatic trauma in our population. This study comprised of 57 cases of hepatic trauma admitted to south surigcal unit, Myo Hospital Lahore from january 1996 to December 1998. After iniital assessment and proper evaluation patients were properly investigated and offered management accordingly. Data regarding the age, sex urban or rural origin, time delay from injury to presentation, type and pattern of injury, hemodynamic status at presentation, resucitation requirements, intraoperative findings and associated injuries was collected. A routine statistical analysis of the data was performed. A follow up of a minimum of six months was done initally once fortnightly for three months and then monthly for three months. hepatic trauma is not uncommon in abdominal trauma. The delay in the arrival to the hosptial is mainly the cause of the worst outcome. conservative management with haemodynamic stability is an important measure along with surgical intervention in the management of hepatic trauma.