Background: Even though it is in a protective location, the abdominal organ that suffers damage the most frequently is the liver. A revolution in the management of acute abdominal organ injuries has occurred in recent decades, with major advancements in outcomes and a shift away from required surgery.
Objectives: To present our experience in non-operative management of blunt liver trauma patients in Qena University Hospital.
Patients and methods: This prospective cohort study was conducted at general surgery department. The study included 50 patients admitted to the emergency department with blunt liver trauma. The duration of the study ranged from august 2021 to july 2022 .
Results:  Treatment success distributions of the studied group show that the majority had Treatment success (86.0). 7 cases died (14.0%) , the cause of death was sepsis in 4 cases (8.0%) , and hemorrhagic shock in 3 cases (6.0%) and transfer to surgical treatment before death
Conclusion; With a high success rate even in the treatment of high-grade liver lesions and a low and acceptable morbidity rate, our protocol offers a safe and effective therapeutic approach for both moderate and severe liver damage.