Blunt Liver Trauma: Operative and Non-operative Management in Zagazig University Hospitals

. Conservative management nowadays takes the upper hand for liver trauma management in hemodynamically stable patients. The aim of the study is to improving the management of blunt liver trauma (non-operative and operative) and decreasing morbidity and mortality in Zagazig University Hospitals. A retrospective study was conducted in the period from June 2019 to June 2021. It included 327 patients admitted with blunt liver trauma in the surgical trauma unit, Zagazig University hospital. The patients were classified according to the way of management: group I, conservative management, and group II, operative management. Variables analyzed included demographic data, injury classification, associated lesions, surgical treatment, morbid-mortality, and hospital stay. Blunt liver trauma represented 33.89% of all blunt abdominal trauma cases in our emergency department. Our study included 50 patients. More than 50% of our patients were young males. Minor liver injuries (grades I-III) were detected in 40 (80%) patients, and major liver injuries (grade IV and V) were detected in 10 (10%) patients. Conservative management was done in 36 (72%) patients and operative management in 14(28%). Mortality rate was 8% (4 patients). Non-operative management of blunt liver injuries is successful in some cases. Patients with more severe injury tend to have an operation. High-grade blunt liver injuries always present with a worse condition and require an operation.