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
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