Causes and management of blunt liver trauma in a tertiary care hospital in Peshawar: Blunt Liver Trauma

Asad Ullah  Khan; Kamran  Ahmad; Abeer  Jehanzeb Khan; Nasir  Bakhtiar; Ahmad  Arsalan Tahir; Muhammad  Harris; Muhammad  Jehangir Khan; Sobia  Haris; Farah  Deeba

doi:10.54393/pjhs.v3i05.197

Authors

Asad Ullah Khan Department of Surgery, Peshawar Medical College, Peshawar, Pakistan
Kamran Ahmad Department of Surgery, Nowshera Medical College, Nowshera,
Abeer Jehanzeb Khan Department of Surgical ICU, Khyber Teaching Hospital, Peshawar, Pakistan
Nasir Bakhtiar Department of Surgery, Peshawar Medical College, Peshawar, Pakistan
Ahmad Arsalan Tahir Department of Surgery, Peshawar Medical College, Peshawar, Pakistan
Muhammad Harris Department of Anatomy, Nowshera Medical College, Nowshera, Pakistan
Muhammad Jehangir Khan Department of Pediatric Surgery, Makka Medical Center, Nowshera, Pakistan
Sobia Haris Department of Medical Education, Nowshera Medical College, Nowshera, Pakistan
Farah Deeba Department of Medical Education, Nowshera Medical College, Nowshera, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v3i05.197

Keywords:

Blunt liver trauma, Hospital stay, Managed conservatively

Abstract

Trauma is the principal reason of deaths in kids and young adults globally. Objective: To determine the causes and management of blunt liver trauma in a tertiary care hospital in Peshawar. Methods: The present investigation observed a total of 150 individuals through non-probability consecutive sampling to determine the mean hospital stay in patients presented with blunt liver trauma. Results: In this study, age distribution among 150 patients was analyzed as n= 10-20 Years 51 34.0%), 21-30 Years 35 (23.3%), 31-40 Years 16 (10.7%), 41-50 Years 23 (15.3%), 51-60 Years 25 (16.7%). Mean age was 41.56±5.357 years. Gender wise Distribution among 150 Patients was analyzed as Male were 94 (62.7%) and female were 56 (37.3%) Distribution of BMI among 150 patients were analyzed as n=Below 18.5 Underweight 76 (50.7%), 18.5–24.9 Normal weight 35 (23.3%), 25.0–29.9 pre-obesity 21 (14.0%), 30.0–34.9 Obesity class 18 (12.0%). Distribution Mechanism of Injury among 150 patients were analyzed as n= RTA was 57 (38.0%), fall from height was 52 (34.7%), Sport's injury was 18 (12.0%), physical assault was 23 (15.3%). Successful Conservative Management among 150 patients were analyzed as n= Yes was 106 (70.7%) and No was 44 (29.3%), Distribution of Mortality among 150 patients were analyzed as n= Yes was found 66 (44.0%) and No was found 84 (56.0%). Conclusions: The severity of liver damage and concomitant intra-abdominal injuries demonstrated a strong association with the chance of success with conservative therapy. The restricted hospital facilities and lack of agreement on traditional therapy had a detrimental influence on success.

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