Nonoperative Management of Grade IV Liver Injury for Elderly Patient

According to current conventional practice 80% to 90% of hepatic injuries can be safely managed without operation. (2) Previously conservative management of the hepatic injuries were recommended for hemodynamically stable patients who did not require blood transfusion and number of trauma centres strongly recommended conservative strategy in alert patient who are able to cooperate with physical examination. However recent experience shows that the key factor in determining whether non-operative management (NOM) can be safely used is hemodynamic stability (HD) of the patient.(5)