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 97
- Downloads 0
Oral misoprostol for cervical ripening prior to surgical termination of pregnancy (MTP)
Objective: To evaluate the efficacy of misoprostol as an adjunct to manual vacuum aspiration in termination of pregnancy of 6-12 weeks with previous caesarean section. Method: During the study period of 2 years from Janu...
A rare case of giant biliary mucinous cystadenoma in a 16 year old boy
Introduction: Biliary mucinous cystadenomas of the liver are rare benign cystic tumors constituting less than 5% of intrahepatic biliary cysts. They have recently been redefined as mucinous cystic neoplasms in the 2010 W...
Profiling of medico legal cases attending casualty at Sri Manakula Vinayagar Medical College, Puducherry
In any hospital the place where the medical emergencies are reported first is the department of casualty. Casualty deals with most of the medico legal cases when compared with any other departments. The present study was...
Comparative evalution of intrathecal 0.5% heavy bupivacaine alone with intrathecal preservative free midazolam(1.5mg) and 0.5% bupivacaine combination in inguinal hernia surgery
Background: Spinal Anaesthesia is a common anaesthetic technique for inguinal hernia surgery. Many adjuvents have been added intrathecally along with local anaesthetic and their effects are evaluated. Midazolam has been...
Clinicopathological study of vocal cord paralysis
Introduction: Phonation is beyond doubt one of the highest functions of the human larynx. The function of vocal cords is to produce sound varying only in pitch and intensity. This is then modified by resonating chambers...