WORLD JOURNAL OF ADVANCE
HEALTHCARE RESEARCH

*Dr. Raad Abdalhadi Ayoob and Dr. Ashraf Khamees Rajab

ABSTRACT

Background: The liver is the most commonly injured solid intra-abdominal organ. The primary goal in the treatment of severe abdominal injuries is to preserve life of the patient. Objectives: Incidence, treatment modalities and post-operative complications of liver injuries in Mosul shall be studied, documenting the various types of such injuries. Patients and Methods: With 44 out of the initial 412 patients displaying blunt or penetrating liver injury in a prospective randomized study, data collection forms for each patient were compiled. The forms amassed information about age, sex, clinical features, type of injury, diagnosis method, grade of injury, postoperative complications, associated intra-abdominal injuries, and mortality. For exploring all patients, an upper midline incision was employed, with the possibility of extension. Results: 79.5% of the participants in this research were male, with a total of 35 individuals, while the remaining 9 were females. Incidents of patients were noted at a rate of 20.5%. Of those cases, 34.1% occurred in the age range of 21-30 years old, which was the highest peak age incidence. Bullets and other penetrating mechanisms caused injuries to thirty three patients. Injuries ranged from stabbings and shrapnel wounds to eleven patients being harmed. There were several patients who suffered from blunt abdominal trauma. Grade I injuries were sustained by only a few (6.8%), while the majority (36.4%) experienced grade II liver damage. There were also those who experienced grade III injuries (27.3%), grade IV injuries (20.4%), and grade V injuries (9.1%). The most frequently harmed area in cases of penetrating trauma was found to be the diaphragm. Liver injury often includes an intra-abdominal organ complication, which can happen 15% of the time. Blunt trauma frequently damages the spleen in patients. The most common issue encountered was intra-abdominal abscess, which affected 4 patients and caused trauma. The mortality rate after surgery stands at 11.4%, while a 4% chance of suffering from a frequent post-operative complication exists. For all patients who were examined, a closed drainage method was utilized. Conclusions: Injured livers are frequently seen in traumatized individuals. These injuries often come from bullets, stabs, or shrapnel fragments, with men being affected more than women. The largest age group affected were those between 21-30 years old, making up 34.1% of cases. AAST ranks the most common grade of injury as grade II, accounting for 36.4% of cases.

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