[Liver injuries--personal experience with treatment].

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.Retrospective study included patiens with liver trauma, admitted in the period december 1995 - december 2005, in total 476.392 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.Higher proportion of nonoopertively treated is among patients with ISS less thanand those with injuries grade I end II.