PREDICTIVE FACTORS FOR CONSERVATIVE TREATMENT OF LIVER TRAUMA

Abstract

Background: Injuries are a major public health problem. The liver is the most commonly injured intra-abdominal organ. Conservative treatment thereby not only decreases the number of non-therapeutic laparotomies but also achieves a reduction in morbidity and mortality. Objective: To evaluate the management of patients with liver injury and the possible predictive factors for conservative treatment. Patients and methods: Prospective outcome analysis was done for 30 patients who were candidates for conservative management of liver trauma at Al-Azhar University Hospitals and Damanhur TeachingHospital from December2019 till October2020. Patients information’s had been collected from the hospital data and connection with them had been through phone calling and hospital follow up visits. Patients had been subjected to clinical and radiological examination. Results: The mean age of the included cases in the study group was 33.63 years (range, 6 – 75), The group included 8 females (26.7%) and 22 males (55%)ss regard type of hepatic injuries of the studied group, 8(26.7%) were isolated hepatic injuries and 22(73.3%) were combined hepatic and other organs, The success rate of the studied group showed that 21(70%) were successful and 9(30%) were unsuccessful. Conclusion: Conservative management of traumatic liver injuries is safe when the decision is based on careful initial evaluation.