Presentation and management of hepatic trauma at Mayo Hospital, Lahore, Pakistan

ABSTRACT

Hepatic injury is one of the most challenging problems for trauma surgeon. We collected data of all hepatic trauma patients received at one of the unit of Mayo Hospital for two years. The purpose of the study was to know different modes of presentation, time interval between the time of injury and hospital report, different management options available, morbidity and mortality. We found that young males living in cities are maximally prone to this type of injury. The patients presented late and most of them in hypovolemic shock. We treated 10.5% conservatively. The more extensive the procedure attempted, the higher was the mortality. We curtailed our mortality to 18% despite inadequate facilities. However we recommend a more conservative approach as we had encouraging results with it