A A Ali, K M Gondal, I Ahmed, M N Aslam, A M Chaudhry.
Post Operative Complications of Hepatic Trauma and their Management: An Experience at Mayo Hospital.
Ann King Edward Med Uni Jan ;2(3-4):18-21.

A prospective study of Fifty patients with postoperative complications following hepatic trauma during two and half years is presented. Of these 84% were male and 16% were females. Age ranged from 13 years to 55 years with a mean of 24 years. Penetrating injuries were more common 80% than blunt trauma 20%. Missile injury (firearm) was the cause in 64% cases, stab in 16% cases. Diagnostic peritoneal lavage was performed in 4 out of 10 cases of blunt trauma. Forty one patients had associated injuries. Twenty two percent patients had multi-regional injuries Fourteen patients (28%) had 47 different complications, these are haemorrhage 6%,hypothermia 10%, hypoglyceamia 6%, respiratory complications 18%, jaundice 6%, wound infection 18%, wound dehiscence 8%, intraabdominal sepsis 12%, liver abscess 4%, bile peritonitis 2% and biliary fistula 8%. Morbidity was 46% and mortality 10%.

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