A study of management of blunt abdominal trauma and complications at tertiary health care center
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 7
Abstract
Introduction: Abdominal trauma is increasing day by day due to increase in the number of vehicles, on the road which are responsible for increase in the road side accidents. It is leading cause of death, hospitalization, and long-term disabilities in the first four decades of life. Aims and Objectives: To Study Management of Blunt abdominal trauma and Complications at tertiary health care center. Material and Methods: The Cross-sectional and clinical study was carried out on patients with blunt abdominal trauma and were admitted to Rajarshi Chhatrpati Shahu Maharaj Medical College and Chhatrapati Pramila Raje Hospital, Kolhapur. Data was collected from 150 cases but for study 100 cases were selected by simple random sampling who fulfilled inclusion and exclusion criteria. The collected data were analyzed and mean. Percentages and proportions were calculated by using SPSS version 17. Result: Spleen was the most common organ involved 28(28%). Liver was 2nd most common organ injured 18(18%). Small bowel was injured in 16 (16%) cases. Large bowel and stomach in 4(4%) each. 4 cases (4%) had mesenteric injury, 2(2%) cases each had renal and pancreatic injuries whereas 2 (2%) cases had retroperitoneal hematoma. Out of 100 cases. 48(48%) were managed surgically and 52 (52%) were managed conservatively. Wound infection was the most common complication after the surgery. It was seen in 10 (20.8%) cases. Pelvic abscess developed in 6(12.5%) cases. 4 patients (8.4%) developed pneumonia. Wound dehiscence, anastomotic leakage, abdominal compartment syndrome and intestinal obstruction developed in two (4.2%) cases each. Conclusion: From our study we conclude that there is an increasing trend towards the non-operative management of solid organ injuries due to blunt abdominal trauma especially in hemodynamically stable patient. Non-operative management is associated with less number or complications and reduced hospital stay.
Authors and Affiliations
Vasant Anandrao Deshmukh, Prasad Magdum
Keywords
Related Articles
- EP ID EP207480
- DOI -
- Views 103
- Downloads 0
Effect of paracervical block in relief of first stage labour pain: an observational study
Childbirth is a painful as well as fruitful process which gives a woman pride of being a mother. However labour pains are among the most severe forms of pain and only the parturient knows the agony. Obstetric analgesia h...
Comparison of efficacy of fluticasone propionate and mometasone furoate in the treatment of allergic rhinitis
Objectives: To compare the efficacy of Fluticasone Propionate and Mometasone furoate in Allergic rhinitis and Based on the results to appraise possible better outcomes in the treatment of Allergic Rhinitis.
A review of ECG changes and coronary angiographic findings in patient who underwent angiography
Introduction: Chest pain is one of the important clinical presentation in coronary artery disease. Patient with or without symptoms irrespective of electrocardiogram changes may or may not have significant coronary angio...
A study of serum lipid profile among obese and non-obese individuals with or without Type-II Diabetes Mellitus
Introduction: Diabetes is a group of metabolic diseases characterized by high blood glucose levels while obesity is accumulation of excess body fat. Diabetes and obesity currently threaten the health, well being and econ...
Oral pleasure-oral sexually transmitted infections-oral cancer: A missing link
Many men and women find oral sex an intensely pleasurable experience. People use different terms to refer to oral sex (including formal terms like fellatio and cunnilingus and slang terms like blow jobs and giving head)....