[Liver injuries--personal experience with treatment].
BACKGROUND
Trauma is one of todays most serious and expensive health care problems, and it is the most common cause of mortality in young population. Non-operative tretment is standard strategi for menagment of blunt liver injuries in hemodynamically stable patiens in last decade.


METHODS
Retrospective study included patiens with liver trauma, admitted in the period december 1995 - december 2005, in total 476.


RESULTS
392 of 476 patients presenting with liver trauma had blunt and only 84 had penetrating injury. Isolated liver injury was identified in 27.5% and 72.5% had associated injuries. Average ISS value was 24.06 (SD = 14.26).During the operation liver injury in patients was classified according to Moor. In 2% critical patients, due to hemodynamic unstability we performed "damage control surgery". Out of 476 patients 8.7% were successfully managet, 6.1% died as "mors in tabula" or during first 24 hours and 6.9% died during hospitalization.


CONCLUSIONS
Higher proportion of nonoopertively treated is among patients with ISS less thanand those with injuries grade I end II.
Vuković
G
G
Klinika za urgentnu hirurgiju, Urgentni centar KCS.
Stefanović
B
B
Kaljević
G
G
Vukojević
V
V
Resanović
V
V
Lausević
Z
Z
D000293:Adolescent; D000328:Adult; D000368:Aged; D006801:Humans; D015601:Injury Severity Score; D008099:Liver / Q000293:injuries* / Q000601:surgery; D008297:Male; D014949:Wounds, Nonpenetrating / Q000601:surgery*; D014950:Wounds, Penetrating / Q000601:surgery*; D055815:Young Adult