Results of operative treatment in patients with hepatic injury surgery transferred to Viet Duc Hospital from other hopitals from 1/1/2004 to 30/06/2006

ABSTRACT

Background: The liver is the largest organ in the abdomen, which is very vulnerable in closed abdominal injury. Clinical features of the mild injuries (grade I, II) are unclear, so they should be closely monitored for treating timely. The severe injuries (level IV, V) are often accompanied by other injuries such as rupture of the kidney, pancreas injury,.... required timely surgical treatment with intensive care. Objectives: to evaluate results of operative treatment in patients with hepatic injury surgery transferred to Viet Duc Hospital from other hopitals. Subjectives and Method: a retrospective descriptive study, the all of medical records of patients with liver trauma who have postoperative complications transferred to Viet Duc Hospital from January 1 2004 to June 30, 2006. Results: 16 patients, 12 men (75%), 3 women (25%), 15 patients had complete data, including 13 patients (87.75%) with symptoms of shock. 2 patients with mild pain (12.50%) who have liver rupture with grade I, II on CT, after operated to show only whipping with catgut and lin. 2 patients with diaphragm rupture, a large bulge-diaphragm rupture, in which a patient was operated 2 times because incision was too small to exploring the injuries. 2 patients were pressed gauze because complex liver rupture, accompanied with pancreas rupture and kidney rupture, so the transfer of these patients was true. Conclusions: among the patients, most patients had no summary of medical record. Besides timely treatment, correctly and appropriately treatment plays an important role.