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Original ArticleOpen Access
Management of Liver Injuries in Paholpolpayuhasena Hospital
Buddhaboriwan T 
This retrospective study of 64 patients undergoing surgery was conducted at Paholpol-
payuhasena Hospital from September 1992 to August 2002. Fifty-two patients (81.2%) were male and
12 patients (18.8%) were female. The patients' age range was between 10 to 79 years, and 24 patients
(37.5%) were in the age group of 20-29 years. Forty-one patients (64.1 %) had blunt abdominal trauma,
the most common cause of which was traffic accidents, and the most common associated injury of
which was splenic injuries. Twenty-three patients (35.9%) had penetrating abdominal trauma, the
most common cause of which was stab wounds, and the most common associated injury of which was
ileum injuries. The classification of liver injuries was found to be grade II injury in most patients (20
patients, 31.2% ). Hepatorrhaphy with suture ligature of the bleeding points and disrupted bile ducts
with drainage was the surgical treatment performed in almost all patients (20 patients, 31.2% ). The
results of treatment were recovery in 49 patients (76.6% ), mortality in 15 patients (23.4% ), and com-
plications in 20 patients (31.3%). Most of the therapeutic outcomes were accounted for by patients
with blunt abdominal trauma.
Key word : Liver Injuries, Management
payuhasena Hospital from September 1992 to August 2002. Fifty-two patients (81.2%) were male and
12 patients (18.8%) were female. The patients' age range was between 10 to 79 years, and 24 patients
(37.5%) were in the age group of 20-29 years. Forty-one patients (64.1 %) had blunt abdominal trauma,
the most common cause of which was traffic accidents, and the most common associated injury of
which was splenic injuries. Twenty-three patients (35.9%) had penetrating abdominal trauma, the
most common cause of which was stab wounds, and the most common associated injury of which was
ileum injuries. The classification of liver injuries was found to be grade II injury in most patients (20
patients, 31.2% ). Hepatorrhaphy with suture ligature of the bleeding points and disrupted bile ducts
with drainage was the surgical treatment performed in almost all patients (20 patients, 31.2% ). The
results of treatment were recovery in 49 patients (76.6% ), mortality in 15 patients (23.4% ), and com-
plications in 20 patients (31.3%). Most of the therapeutic outcomes were accounted for by patients
with blunt abdominal trauma.
Key word : Liver Injuries, Management
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