Management of Hepatic Trauma in patients with abdominal firearm injuries
Background: Firearm injuries to the abdomen are increasing in frequency worldwide. The objectives of this study were to evaluate the different ways of managing hepatic injuries due to firearm injuries and to make recommendations as to how various grades of hepatic trauma may be managed locally. Mat...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Gomal Medical College, D.I.Khan, Pakistan
2010-12-01
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| Series: | Gomal Journal of Medical Sciences |
| Online Access: | http://gjms.com.pk/ojs24/index.php/gjms/article/view/349 |
| _version_ | 1818454524513222656 |
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| author | Ikramullah Zahid Aman Farid Anwar Ainul Hadi Rashid Aslam Zafar Iqbal |
| author_facet | Ikramullah Zahid Aman Farid Anwar Ainul Hadi Rashid Aslam Zafar Iqbal |
| author_sort | Ikramullah |
| collection | DOAJ |
| description | Background: Firearm injuries to the abdomen are increasing in frequency worldwide. The objectives of this study were to evaluate the different ways of managing hepatic injuries due to firearm injuries and to make recommendations as to how various grades of hepatic trauma may be managed locally.
Material & Methods: It was a descriptive study conducted in Surgical B Ward Lady Reading Hospital Peshawar from July 2007 to January 2008. Sampling technique was convenient. After taking informed consent, all patients above 14 years age who presented to emergency department with firearm injury of abdomen, were included in this study. Patients with other types of abdominal injuries like stab and blunt trauma were excluded. The data was collected and analyzed.
Results: Out of 70 patients having firearm injury of abdomen, 20(28.57%) had hepatic trauma. Mean age of patients was 27.5+12.15 years and male to female ratio 3:1. Twelve (60%) patients were in state of shock. Right lobe was involved in 13(65%) and left lobe in 7(35%) patients. Eleven (55%) patients had Grade-I and II liver injuries, 5(25%) Grade III and 4(20%) Grade-IV liver injury. Operative procedures performed were hepatorraphy+spongeston application in 8(40%) patients and temporary perihepatic packing in 4(20%) patients. Complications occurred in 10(50%) patients.
Conclusion: Hepatic injury is common with abdominal firearm injury. Many of these patients get complications with a significant mortality. Conservative approach like perihepatic packing is the mainstay of treatment in Grade III and IV hepatic injuries. |
| first_indexed | 2024-12-14T21:56:15Z |
| format | Article |
| id | doaj.art-e0a86c5d80474c07a07ddb98e9f53761 |
| institution | Directory Open Access Journal |
| issn | 1819-7973 1997-2067 |
| language | English |
| last_indexed | 2024-12-14T21:56:15Z |
| publishDate | 2010-12-01 |
| publisher | Gomal Medical College, D.I.Khan, Pakistan |
| record_format | Article |
| series | Gomal Journal of Medical Sciences |
| spelling | doaj.art-e0a86c5d80474c07a07ddb98e9f537612022-12-21T22:46:08ZengGomal Medical College, D.I.Khan, PakistanGomal Journal of Medical Sciences1819-79731997-20672010-12-0191302Management of Hepatic Trauma in patients with abdominal firearm injuriesIkramullahZahid AmanFarid AnwarAinul HadiRashid AslamZafar IqbalBackground: Firearm injuries to the abdomen are increasing in frequency worldwide. The objectives of this study were to evaluate the different ways of managing hepatic injuries due to firearm injuries and to make recommendations as to how various grades of hepatic trauma may be managed locally. Material & Methods: It was a descriptive study conducted in Surgical B Ward Lady Reading Hospital Peshawar from July 2007 to January 2008. Sampling technique was convenient. After taking informed consent, all patients above 14 years age who presented to emergency department with firearm injury of abdomen, were included in this study. Patients with other types of abdominal injuries like stab and blunt trauma were excluded. The data was collected and analyzed. Results: Out of 70 patients having firearm injury of abdomen, 20(28.57%) had hepatic trauma. Mean age of patients was 27.5+12.15 years and male to female ratio 3:1. Twelve (60%) patients were in state of shock. Right lobe was involved in 13(65%) and left lobe in 7(35%) patients. Eleven (55%) patients had Grade-I and II liver injuries, 5(25%) Grade III and 4(20%) Grade-IV liver injury. Operative procedures performed were hepatorraphy+spongeston application in 8(40%) patients and temporary perihepatic packing in 4(20%) patients. Complications occurred in 10(50%) patients. Conclusion: Hepatic injury is common with abdominal firearm injury. Many of these patients get complications with a significant mortality. Conservative approach like perihepatic packing is the mainstay of treatment in Grade III and IV hepatic injuries.http://gjms.com.pk/ojs24/index.php/gjms/article/view/349 |
| spellingShingle | Ikramullah Zahid Aman Farid Anwar Ainul Hadi Rashid Aslam Zafar Iqbal Management of Hepatic Trauma in patients with abdominal firearm injuries Gomal Journal of Medical Sciences |
| title | Management of Hepatic Trauma in patients with abdominal firearm injuries |
| title_full | Management of Hepatic Trauma in patients with abdominal firearm injuries |
| title_fullStr | Management of Hepatic Trauma in patients with abdominal firearm injuries |
| title_full_unstemmed | Management of Hepatic Trauma in patients with abdominal firearm injuries |
| title_short | Management of Hepatic Trauma in patients with abdominal firearm injuries |
| title_sort | management of hepatic trauma in patients with abdominal firearm injuries |
| url | http://gjms.com.pk/ojs24/index.php/gjms/article/view/349 |
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