Management of Liver Injuries in Paholpolpayuhasena Hospital

THONGCHAI BUDDHABORIW AN, MD*

Affiliation : * Department of Surgery, Paholpolpayuhasena Hospital, Kanchanaburi 71000, Thailand.

AbstractThis retrospective study of 64 patients undergoing surgery was conducted at Paholpol payuhasena Hospital from September 1992 to August 2002. Fifty-two patients (81.2%) were male and 12 patients (18.8%) were female. The patients' age range was between 10 to 79 years, and 24 patients (37.5%) were in the age group of 20-29 years. Forty-one patients (64.1 %) had blunt abdominal trauma, the most common cause of which was traffic accidents, and the most common associated injury of which was splenic injuries. Twenty-three patients (35.9%) had penetrating abdominal trauma, the most common cause of which was stab wounds, and the most common associated injury of which was ileum injuries. The classification of liver injuries was found to be grade II injury in most patients (20 patients, 31.2% ). Hepatorrhaphy with suture ligature of the bleeding points and disrupted bile ducts with drainage was the surgical treatment performed in almost all patients (20 patients, 31.2% ). The results of treatment were recovery in 49 patients (76.6% ), mortality in 15 patients (23.4% ), and com plications in 20 patients (31.3%). Most of the therapeutic outcomes were accounted for by patients with blunt abdominal trauma.

Keywords : Liver Injuries, Management

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