Abstract
Objectives: The objective of the study is to see the frequency and presentations regarding complications of Liver Trauma.
Settings: Study was conducted in Services Hospital Lahore and in Mayo Hospital, Lahore. All the patients who presented with liver injuries in A & E Department were included in the study.
Subjects: Study was conducted on 50 patients out of whom 40 were males and 10 were female. 35 male patients sustained blunt while 15 patients had penetrating injuries.
Interventions: Liver injuries were graded according to AAST i.e. American Association for Surgery Trauma. 44 patients under went for Laparotomy and 6 were managed conservatively.
Results: During 6 months of follow up period the most common complications seen in the patients were septic complication was seen in 29 patients, jaundice in 14 patients biloma formation due to Bile Leak in 8 patients biliary Fistulas in 5 patients Hemorrhage in Post Operative period in 3 patients, Hemobilia in 1 patient, Wound Sepsis in 1 patient leading to Wound Dehiscence. Mortality was seen in 4 patients in Post Operative
Conclusion: Liver Trauma both blunt and penetrating had high rate of complications which depends upon the operative techniques, resuscitation, the time between injury and presentation in the Hospital, the grade of Liver Injuries, associated Organ Injuries available expertise and post operative care.