Outcomes of Patients with Grade I and II Blunt Liver Trauma Managed Non-operatively
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Abstract
Objective: To determine the mean hospital stay of patients with blunt liver trauma grades I and II managed conservatively.
Methodology: This cross-sectional observational study was conducted at the Department of General Surgery, Hayatabad Medical Complex Peshawar, from May 7, 2021, to November 7, 2025. A total of 150 patients presenting with blunt liver trauma of grade I and II, who were managed conservatively, were observed to determine the mean hospital stay. non-probability consecutive sampling technique was employed.
Results: We included 150 patients with blunt liver trauma. The mean age of the patients was 41.56 years (SD ±5.357). Of these, 94 (62.7%) were male and 56 (37.3%) were female. The most common mechanism of injury was a fall from height, observed in 52 (34.7%) patients, followed by physical assault in 23 (15.3%) and sports injuries in 18 (12.0%). Conservative management was successful in 135 (90.7%) patients, whereas 14 (9.3%) required further intervention. Mortality was recorded in 6 patients (4.0%), whereas 144 patients (96.0%) were alive.
Conclusion: In conclusion, the mean hospital stays for patients with Grade I and II blunt liver trauma managed conservatively was 4.39 ± 2.10 days. Grade II had longer hospital stay compare to grade I. However, the overall success rate and the effectiveness of this approach may be adversely affected by limited hospital resources and the lack of consensus regarding conservative treatment protocols.
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