ABSTRACT
Despite advances in diagnostic techniques, liver trauma management remains a challenging issue. To audit the 2 years resutls of liver traumas treated surgically. Retrospective analysis of patients who underwent surgery for liver injury were reviewed. Age, gender, type of trauma, haemodynamic parameters, preoperateive hemoglobin, number of injuries to the liver, coexisting organ injuries, type of surgery, duration of hospitalisation, health status on discharge were evaluated. A total of 30 patients underwent surgery for liver trauma, their median age was 35 +/- 17.14 [23 male, 7 female]. Blunt liver trauma was seen in 50% of the cases [n=15], while, remaining had penetrating trauma. Nine patients [30%] were haemodynamically unstable. Number of injuries to the liver were 1 in 13 patients [43.3%] 2 in 7 patients [23.33%] 3 in 4 patients [13.33%] and more than 3 in 6 patients [20%] Twenty two patients [73.3%] had co-existing injuries to other organs too. Among the surgical procedures used, 9 were damage controlling procedures and 9 were definitive repair, and one patient underwent living donor liver transplantion. Mortality was 10% [n=3]. Coexisting organ injuries and hemodynamically unstable status contributed to mortality