Incidence of liver trauma and relative risk factors for mortality: A population-based study

Chien, Li Chien; Lo, Su Shun; Yeh, Shih Yu

doi:10.1016/j.jcma.2013.06.004

Cited by 24 publications

(24 citation statements)

References 27 publications

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“…The most affected population is in the age group 21-30 (21 patients). Similar results were found in study done by chienn lc et al 6 The higher incidence of liver injuries in younger population corresponds to their proneness to get involved in road traffic accidents.…”

Section: Resultssupporting

confidence: 91%

A Prospective Study on the Management of Liver Trauma

Mallikarjun¹,

Cheeti²,

Karupothula³

2015

jebmh

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BACKGROUND: Assessing the factors responsible for morbidity and mortality of Liver Injury. Evaluating the operative and non-operative options of management of Liver injury and to study the postoperative complications and management of Liver injury. MATERIAL AND METHODS: This prospective study of 50 patients was done from June 2012 to October 2014 (24 months) with aim of presenting the incidence of liver injury and grade of liver injury. RESULTS: The incidence of Liver Trauma is 22.3% in our study. The most common age group involved in the injury are younger age group (21-40 years).Male is involved more in liver injury. Duration between incidence of injury and admission is highly significant. Patients who presented within 2 hours of injury, experienced minimal complications. The lapse time from injury to surgery is highly significant (P<0.019). Survival rate of patients who were operated within 12 hours of injury was 69% higher than the patients who were operated after 12hours of injury. Associated injuries were present in less than 50% of the patients and 10% of patients (9/50) expired of associated injuries still the diagnostic tool for evaluating liver injury. Right lobe is the commonly injured lobe and Grade I and Grade II Liver injuries are the common injuries presented with (56%). (P

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Section: Resultssupporting

confidence: 91%

A Prospective Study on the Management of Liver Trauma

Mallikarjun¹,

Cheeti²,

Karupothula³

2015

jebmh

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“…The mean age of patients was 34.85±9.75 years. 17 The findings were similar to present study where most patients were males as well as similar mean age of patients was reported.…”

Section: Discussionsupporting

confidence: 92%

Outcomes of surgical management of liver trauma at LUMHS Jamshoro

Laghari

Munir

et al. 2020

Int J Res Med Sci

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Background: Mortality from liver trauma remains high despite surgical advancements. The objective of this study was to determine the outcomes of surgical management of liver trauma at LUMHS Jamshoro.Methods: A cross-sectional observational study using non-probability convenient sampling technique was done at department of surgery LUMHS Jamshoro for 18 months. Patients between 14 to 50 years with blunt hepatic trauma presenting to the E.R. within 04 hours of incident were included and hepatic trauma patients managed conservatively, having multiple trauma and hemo-dynamically stable were excluded. SPSS version 20 was used for data analysis with mean and SD reported for qualitative and frequency and percentages for quantitative variables. Chi-square test was applied keeping p-value of < 0.05 as statistically significant.Results: From 136 patients with mean age of 32.33±1.23 years, 120 (88%) were male. 122 (89.7%) were admitted due to blunt trauma and 14 (10.3%) due to penetrating trauma. Peri-hepatic packing was performed in 116 (85.2%) and suture hepatorrhaphy in 20 (14.8%). Intra-abdominal sepsis was seen in 41 (30%) of patients followed by recurrent hemorrhage in 33 (24%) while 30 (22%) of patients died. Substantial differences (p < 0.001) were observed in terms of surgical technique and each of the complication i.e. sepsis, bile leak and recurrent hemorrhage among alive patientsConclusions: The most common post-operative complication was intra-abdominal sepsis followed by recurrent haemorrhage and bile leak. Significant mortality was observed in between type of complication as well as surgical technique.

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“…Traffic accidents account for the majority of liver injuries [3]. The incidence of traumatic liver injury in total population is 2.95-13.9/100.000 [4,5]. Thirteen to 16% of polytrauma patients have liver injuries [6].…”

Section: Introductionmentioning

confidence: 99%

The effect of steatosis and fibrosis on blunt force vulnerability of the liver

et al. 2020

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The aim of our study was to examine the possible effect of steatosis and fibrosis on the blunt force vulnerability of human liver tissue. 3.5 × 3.5 × 2-cm-sized liver tissue blocks were removed from 135 cadavers. All specimens underwent microscopical analysis. The tissue samples were put into a test stand, and a metal rod with a square-shaped head was pushed against the capsular surface. The force (Pmax) causing liver rupture was measured and registered with a Mecmesin AFG-500 force gauge. Six groups were formed according to the histological appearance of the liver tissue: intact (group 1), mild steatosis (group 2), moderate steatosis (group 3), severe steatosis (group 4), fibrosis (group 5), and cirrhosis (group 6). The average Pmax value was 34.1 N in intact liver samples (range from 18.

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Incidence of liver trauma and relative risk factors for mortality: A population-based study

Cited by 24 publications

References 27 publications

A Prospective Study on the Management of Liver Trauma

A Prospective Study on the Management of Liver Trauma

Outcomes of surgical management of liver trauma at LUMHS Jamshoro

The effect of steatosis and fibrosis on blunt force vulnerability of the liver

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