Evaluation of Outcome of Traumatic Hepatobiliary Injury
Traumatic Hepatobiliary Injury
Background: To evaluate outcome of traumatic hepatobiliary injury. Subjects & Methods: One hundred ten patients with traumatic hepato- biliary injury of both genders were recruited in present study. Hepatic injury grade, associated injuries, indication for operative intervention, failure of nonoperative management and complications were recorded. Results: Grade of liver injury was I in 14, II was in 22, III in 35, IV in 20 and V in 19 patients. Associated injury was maxillofacial injury in 32, head injury in 45, spine injury in 11, chest injury in 52 and pelvic injury in 8. Management was operative liver related in 32, operative liver unrelated in 10 and non- operative in 68 patients. Complications were persistent bile leak in 10 and angioembolization in 4. Death occurred in 7 patients. Conclusion: Hepato- biliary injury are common nowadays and liver injuries are severe. Both operative and non- operative management should be employed. Persistent bile leak and angioembolization were common complications.
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