ANALYSIS OF 200 CASES OF LIVER TRAUMA: PROSPECTIVE STUDY
A Issa, M., A Alfahed, N., A Alsabahi, A., A Homesh, N., A Alhadi, M., A Tashan, A., A Alatta, M., M Algenid, A. (2005). ANALYSIS OF 200 CASES OF LIVER TRAUMA: PROSPECTIVE STUDY. EKB Journal Management System, 24(2), 107-114. doi: 10.21608/ejsur.2005.373154
Mohamed A Issa; Naji A Alfahed; Ali A Alsabahi; Nagi A Homesh; Mohamed A Alhadi; Abdou A Tashan; Mohamed A Alatta; Ashwag M Algenid. "ANALYSIS OF 200 CASES OF LIVER TRAUMA: PROSPECTIVE STUDY". EKB Journal Management System, 24, 2, 2005, 107-114. doi: 10.21608/ejsur.2005.373154
A Issa, M., A Alfahed, N., A Alsabahi, A., A Homesh, N., A Alhadi, M., A Tashan, A., A Alatta, M., M Algenid, A. (2005). 'ANALYSIS OF 200 CASES OF LIVER TRAUMA: PROSPECTIVE STUDY', EKB Journal Management System, 24(2), pp. 107-114. doi: 10.21608/ejsur.2005.373154
A Issa, M., A Alfahed, N., A Alsabahi, A., A Homesh, N., A Alhadi, M., A Tashan, A., A Alatta, M., M Algenid, A. ANALYSIS OF 200 CASES OF LIVER TRAUMA: PROSPECTIVE STUDY. EKB Journal Management System, 2005; 24(2): 107-114. doi: 10.21608/ejsur.2005.373154

ANALYSIS OF 200 CASES OF LIVER TRAUMA: PROSPECTIVE STUDY

The Egyptian Journal of Surgery
Volume 24, Issue 2, April 2005, Page 107-114  XML PDF (223.51 K)
Document Type: Original Article
DOI: 10.21608/ejsur.2005.373154
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Authors
Mohamed A Issa; Naji A Alfahed; Ali A Alsabahi; Nagi A Homesh* ; Mohamed A Alhadi; Abdou A Tashan; Mohamed A Alatta; Ashwag M Algenid
Department of General Surgery, Sana'a University, Al-Thawra Teaching Hospital, Yemen
Abstract
Aim: The liver is the most commonly injured abdominal organ in both blunt and penetrating abdominal trauma. Liver injuries may cause substantial mortality and morbidity and optimal management of complex injuries is controversial. We aimed to review the management and outcome of liver injuries with the objective of evaluating the efficacy of current methods of treatment. 
Methods: Prospective study included 200 patients with liver injuries were treated during the 52 months period at Al-thawra teaching Hospital, Sana'a. Demographic, clinical and operative data, causes, liver injury grade, associated injuries, method of management, length of stay ,transfusion requirements, complications and death were analyzed. 
Results: One hundred nineteen patients (59.5%) had blunt trauma, while 81 patients (40.5%) suffered from penetrating injuries. Most of the patients (89%) underwent operation and only 11% of the patients treated nonoperatively. Liver injury grades were, grade I, 27, grade II, 67, grade III, 52, grade IV, 42 and grade V, 11. Three hundred eighty two associated injuries occurred in 141 patients and the commonest organs affected were, chest (56 injuries) and stomach (44 injuries).The overall mortality was 23.5% (47 patients) and 73 complications occurred in 30.5% (61 patients). 
Conclusion: Prevention of trauma itself should be a goal and early recognition of the magnitude of complex injuries and access to a tertiary facility are now regarded as essential requirements in the management of major injuries. 
Keywords
Liver injuries; blunt; penetrating; mortality and morbidity
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