Non Operative Management Of Blunt liver Trauma

Despite its relatively protected location, the liver is the most commonly injured organ following blunt abdominal trauma. Blunt liver trauma is usually due to road traffic accidents, assaults, or falls from heights, and results in deceleration injuries with lacerations of liver tissue from shearing stresses.In the past, most of these injuries were treated surgically. However, surgical literature confirms that as many as 86% of liver injuries have stopped bleeding by the time surgical exploration is performed, and 67% of operations performed for blunt abdominal trauma are nontherapeutic laparotomies. The management of liver injury has evolved greatly over the last decade. There have been many technical advances in medicine that now allow us to better diagnose and treat liver injuries both operatively and nonoperatively.