Studying the clinical profile of blunt hepatic trauma

Authors

  • Vijay Pal Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001`
  • Bhavinder Kumar Arora Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001 http://orcid.org/0000-0003-3650-8415
  • Rohit Singh Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001
  • Gourav Mittal Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001
  • Monika Shekhawat Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001
  • Neha Garg Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001
  • Vivek Sirohi Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001

DOI:

https://doi.org/10.18203/2349-2902.isj20210918

Keywords:

Blunt hepatic trauma, Blunt trauma abdominal, Clinical profile, Conservative management, Non-operative management

Abstract

Background: The liver is the largest intra-abdominal organ and is considered to be the second commonest organ to be injured in blunt abdominal trauma. Blunt hepatic injuries due to road traffic accidents are the sixth leading cause for death in India. Approximately 15-20% of abdominal injury presents as hepatic trauma and is liable for 50% of death resulting from abdominal trauma. The mortality rate is higher with blunt hepatic trauma than penetrating injuries. The advent of improved and expeditious imaging technologies amid advances in critical-care monitoring, prompted a significant shift towards conservative management of solid-organ abdominal injuries.

Methods: The study was conducted over 96 patients in General Surgery Department, PGIMS, Rohtak with a history of blunt hepatic injury. The study duration was from 16th May 2018 till 1st June 2020. The aim of the study was to evaluate the pattern of blunt hepatic trauma and the patterns with which they presented in the emergency department.

Results: In this study, 98.96% of the patients were managed conservatively whereas only 1.04% of patients needed surgical intervention. Conservative approach was possible because of strict patient monitoring, availability of experienced surgeons and radiologists, good intensive care unit care.

Conclusions: The study concluded that conservative management of the patient is better than operative management and can be done in the patients who are hemodynamically stable. Most of the patients settle after 48 hours if managed conservatively.

 

 

Author Biographies

Vijay Pal, Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001`

Junior Resident Genral Surgery

Bhavinder Kumar Arora, Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001

Professor

General surgery

Rohit Singh, Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001

Junior Resident

General Surgery

Gourav Mittal, Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001

Junior Resident

General Surgery

Monika Shekhawat, Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001

Junior Resident

General Surgery

Neha Garg, Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001

Junior Resident

General Surgery

Vivek Sirohi, Pt. B. D. Sharma, PGIMS, Rohtak, Haryana 124001

Junior Resident

General Surgery

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Published

2021-02-25

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Original Research Articles