Blunt Trauma Abdomen in Surgical Emergency: A Retrospective Study
Journal Title: New Indian Journal of Surgery - Year 2018, Vol 9, Issue 5
Abstract
Background: Abdominal trauma from Blunt injury is found in most of the patients with polytrauma. For diagnosing Blunt abdominal trauma, we have to keep high index of suspicion and through physical examination and investigations are required. Prompt and proper management in time reduces morbidity and mortality. Aim: The aim of this retrospective study was to know the percentage of different organ involvement in Blunt trauma abdomen. As well as to find out types of injury, age group, male to female ratio, operative to conservative ratio and respective outcome. Material and Methods: This study is based on 295 cases of Blunt trauma abdomen; managed there from admission, investigation, management and possible follow up. Observations are shown in different tables. Result: we found that Liver is the most common organ to get involved in Blunt trauma abdomen. After that comes spleen, kidney and pancreas respectively. Solid organ injuries cases were treated by operative as well as conservatively as per hemodynamic parameters of patients. Operative management of Bowel injuries was done by either repair of perforation or resection and anastomosis of Bowel. Out of 295 patients 53 died because of complication like Hypovolemic shock, septicemia, renal failure and multi organ failure. Concusion: Timely diagnosis and proper management reduces mortality after Blunt trauma abdomen. Early management should start from accident site to hospital with close supervision.
Authors and Affiliations
Mukesh Kumar
Keywords
Related Articles
- EP ID EP548502
- DOI 10.21088/nijs.0976.4747.9518.11
- Views 74
- Downloads 0
Practical Comparison of Use of Inj. Ranitidine and Inj. Omeprazole in Peri-Operative Period in Respect to Efficacy and Cost-Effectiveness for Prevention of Stress Ulcers
Background: Since advent of Proton Pump Inhibitors (PPIs) use of H2 receptor blockers (Ranitidine) is on decline. There is no doubt that PPIs are superior gastric acid suppressors and should be first line of therapy for...
Efficacy of Diagnostic Laparoscopy in Undiagnosed Chronic Abdominal Pain
Patients will chronic abdominal pain are the most difficult to diagnose and treat. Potentially it can be unrewarding for both patients and treating physician 1. Thereby affecting patients both physically and mentally. Ch...
Adoloscent Male Chest Swelling
Most of the cases occur during during puberty. It is benign proliferation of male breast glandular tissue. It is a common presentation in the primary care setting and mostly benign. Treatment is towards the specific etio...
Pneumoperitoneum Creation for Laparoscopic Entry: Veress Needle Insertion Technique Versus Direct Trocar Insertion Technique: A Prospective Comparative Study
Background: In laparoscopic surgery, establishment of pneumoperitoneum is the important step for the continuation of surgery. There are several techniques for the creation of pneumoperitoneum - Veress needle, hasson’s c...
A Novel and Cheap Vasoactive Drug Combination for Pharmacological Erection
Introduction: Intracavernosal injection for pharmocological erection is an important tool for diagnosis and treatment of erectile dysfunction. Commonly the three drugs Papaverine, Phentolamine and Prostaglandin E1 have b...