دراسة مقارنة للطرق غير الجراحية و الجراحية في تدبير أذيات الكبد الناجمة عن المرامي النارية

Abstract EN

Background and Aim: Gunshot injury is a kind of penetrating injury, which makes a challenge for a surgeon.

Liver is the most common injured abdominal organ.

Patients and Methods: We prospectively analyzed 104 Patients with liver gunshot injury.

Between August 2012 and December 2013.

Results: 66% of patients have GI-III liver gunshot injury and 34% had grade IV and V.

88% of patients underwent a Laparotomy, and 12% were treated non- operatively.

85% of surgical patients were managed by tamponade packing or parenchymal suture.

There were no difference in complications between the two procedures.

Bile leak occurred by 23% of operative patients and by 9% of non-operative patients.

Mortality rate was 9% in operative patients.

Lethal triad was the commonest cause of death.

No Patient died by conservative therapy (non-operative management).

Conclusion: The determined use of non-operative management of the liver gunshot injury contributed in specific cases in decreasing the incidence of unnecessary laparotomies as well as overall morbidity and mortality.