A prospective analysis of non-operative management of liver injury in blunt abdominal trauma

Abstract

Background and Objective: To assess the effectiveness of conservative therapy in individuals who have suffered blunt abdominal trauma and liver damage. To establish a guideline to assist in determining when to switch from a conservative course of treatment to surgical surgery. To research the side effects of treating liver traumatic injury conservatively Method: A prospective single centre study was performed on 60 individuals who have been diagnosed with blunt abdominal trauma and liver injury were included in the study. The incident involving the bunt injury to the abdomen is thoroughly investigated. Systematic analysis and fundamental research are
conducted.
Result: In 60% (n=35) of the instances, the patients had mild hemoperitoneum, 28% (n=15) had moderate hemoperitoneum, and 12% (n=10) had severe hemoperitoneum. The bulk of them (n=20, 34%) were in Grade I according to the liver injury grading system. Grades II (n=15, 26%), III (n=15, 24%), and IV (n=8, 16%) were the most common. Out of 60 patients, 55 (92%) had conservative management,
whereas two (6%) required an emergency laparotomy. Out of 55 patients, 5 died in the conservative group's group (55) while 1 died in the group receiving emergency laparotomy.
Conclusion: The ages of the patients ranged from 11 to 62, with the median age being 36 and the mean age being 35.80. There was a deviation of 12.06 standard deviations. Of the total of 60 patients, 88% were men and only 12% were women. Most of them (n=17, or 34%) were classified as having only Grade I liver injury. Grades two through four were represented as follows: thirteen (26%), twelve (24%), and eight (16%). Of the 60 patients, 55 (96%) were treated with conservative methods and 2 (4%), with emergency laparotomies. In the emergency laparotomy group, 5 patients died while only 3 of the 55 in the conservative group did.