A RETROSPECTIVE EVALUATION OF THE LIVER TRAUMA MANAGEMENT: A THREE-YEAR OUTCOMES OF A TERTIARY TRAUMA CENTRE agrondogjani@yahoo.com

 

A RETROSPECTIVE EVALUATION OF THE LIVER TRAUMA MANAGEMENT: A THREE-YEAR OUTCOMES OF A TERTIARY TRAUMA CENTRE

4

Albania

Oral or Poster

Liver injury remains a challenge in the management of abdominal trauma due to the complexity of the blood vessels and the critical anatomical location of the organ. Improved assessment and management protocols have provided a paradigm shift in the management of hemodynamically stable patients with nonoperative management (NOM).

A retrospective analysis of 186 sufferers who had been admitted with liver trauma from January 2022 to December 2024 was conducted. Statistics are collected on demographics, mechanism of damage, severity of injury (WSES and AAST liver injury scale), imaging research, remedy approach (operative vs. nonoperative), and medical consequences.

Blunt trauma was responsible for 65% of the instances, and 35% of the cases were caused by penetrating injuries. NOM was applied in 144 sufferers (77.4%), and it had a total success rate of 94.4%. Operation became required in 42 patients (22.6%), generally due to hemodynamic instability or high-grade liver damage. Mortality was nine.1%, frequently because of polytrauma and intense hepatic disruption. Operatively controlled sufferers had better complication rates of bile leakage (11.9%) and intra-abdominal sepsis (9.5%).

Nonoperative management is robust and safe for most people with liver trauma, as long as there is suitable patient selection and close monitoring. Surgery remains indicated for unstable sufferers or those with complicated injuries. However, it is the multidisciplinary care that takes precedence, involving trauma surgery, radiology, and comprehensive care to optimize outcomes and minimize morbidity.