Analysis of visceral injuries in blunt abdomen trauma
Journal Title: MedPulse -International Medical Journal - Year 2016, Vol 3, Issue 2
Abstract
Introduction: The incidence of abdominal trauma makes trauma as one of the leading causes of acute abdomen in the day to day surgical practice. It accounts for the majority (80%) of abdominal injuries seen in emergency department, and is responsible for substantial morbidity and mortality. Aims and Objectives: To Analyze the Visceral Injuries in Blunt Abdomen Trauma. Methodology: This clinical study was carried out on patients admitted in trauma care unit and Dept. of General Surgery, Aarupadai Veedu Medical College, Puducherry for a period of 2 years. From the above mentioned source, 120 consecutive cases were taken. Patients admitted with history of blunt trauma abdomen due to road traffic accidents, accidental falls, and trauma by blunt objects and assault were included into study while Associated Orthopaedic Injuries, Associated With Severe Head Injury, Associated With Severe Chest Injury, Pregnancy were excluded from the study. In case of death, the cause of the death was noted. Result: Maximum of cases were in 21-30 age group (29.3%) followed by 11-20 and 31-40. Average age was 25.1 years. 96 (80%) patients were male 24 (20%) were female. Male to female ratio was 4:1. Most common cause of blunt trauma to abdomen was road traffic accidents 82 (68.33%), second common cause was fall from height (20%). Other causes were hit by blunt objects and assaults. liver was the most common organ involved in 32 of cases, Spleen was the second most common organ injured in 20 of cases. Small bowel was injured in 16 cases. Mesentery was injured in 17 cases. Combined injuries in 15 cases. Out of 120 cases 82 (68.33%) were managed surgically and 38 (31.66%) managed conservatively. duration of the stay ranged from 6-34 days. maximum number of cases (60) 50% stayed for below 10 days. 30 cases stayed for 11-20days. 4 cases stayed for >20 days, septicaemia was the most common cause of death (14 cases). Remaining 2 patients died of ARDS and sudden cardiac arrest. Conclusion: The age and sex distribution of the patients, etiology of the blunt trauma to abdomen and average hospital stay; causes of the death are useful for the future management and prevention of injuries. In Present Study We Concluded That Operative Procedure Was The Best Method Of Treatment Option If Patient Is Unstable And Early Laporotomy Decreases The Mortality In Blunt Trauma Patients
Authors and Affiliations
V Nandhana Prashanth, B Kanchana, Vivekananda S Nathan
Keywords
Related Articles
- EP ID EP204817
- DOI -
- Views 99
- Downloads 0
Clinical profile of patients presenting with fever and thrombocytopenia
Objective: To study correlation between etiology and clinical profile of patients presenting with fever and thrombocytopenia, to study correlation between bleeding manifestations and platelet count and to study predictiv...
A comparative study of repair of hernia with darn versus mesh
Introduction: The history of hernia is the history of surgery (FalixPatino). The trial for optimal operation is still going on regarding cost effectiveness, low recurrence rate and acceptable postoperative pain and no or...
A study of the role of amnion as a biological dressing on healing of wound due to burns and non-healing wound
Introduction: The prevention or at least control of burn wound sepsis is absolutely vital, if mortality rate in the major thermal burns is to the lowered to an acceptable level. Meticulous surgical cars of the burn wound...
Evaluation of effect of phototherapy on serum calcium level
Jaundice is one of the most common problem that can occur in the newborn. The study group included 200 neonates (155 term and 45 preterm). All had hyperbilirubinemia. The entire neonate included in the study group requir...
A Study of Immediate Outcome of Caesarian Section in Primiparous Patients
Abstract: Introduction: The reasons for increased incidence of cesarean section in primiparous patients are obvious. Firstly, increased safety of this operation has widened the indications both maternal and fetal. Second...