Comparison between operative and non-operative management in abdominal injuries
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 6, Issue 2
Abstract
Background: Blunt abdominal trauma and penetrating injuries to abdomen is usually not obvious clinically and frequently unreliable. The knowledge in the management of blunt abdominal trauma has progressively increasing. Aim: To compare outcomes between operative and non-operative management in abdominal injuries. Material and Methods: The present study includes 60 patients of blunt and penetrating abdominal injuries. Out of 60 patients, 23 patients with pneumoperitoneum or hemoperitoneum with hemodynamic instability underwent exploratory laparotomy. 37 patients were selected for non-operative management as they were hemodynamically stable. Results: Out of the total 60 cases 7 patients succumbed to their injuries in this study (11.67%). Six patients belonged to operative group 6/23 patients (26.08%). One patient belonged to non-operative group 1/37 patients (2.7%). Conclusion: Non-operative management for blunt abdominal trauma was found to be highly successful and safe in our study. However, management by NOM depends on clinical and hemodynamic stability of the patient, after definitive indications for laparotomy are excluded.
Authors and Affiliations
A V Joshi, Sahebrao V Dawre
Keywords
Related Articles
- EP ID EP477713
- DOI 10.26611/106626
- Views 147
- Downloads 0
Clinical study and surgical management of acute intestinal obstruction in adults
Background: Intestinal obstruction is a common surgical emergency all over the world that accounts for at least 20% of all admissions to a surgical service. Objective: The objective of this study is to identify the cause...
Clinical Profile of Thyroid Carcinoma Cases Attending Tertiary Care Hospital
Background: Thyroid cancer constitutes about 1% of all malignant tumors and highly differentiated types account for 0.8% of all human malignancies. Thyroid cancer ranks among the 5 most frequent cancers in the 15 to 40 a...
Comparison of postoperative complications of fistula in Ano managed with open fistulectomy and lift method
Background: The treatment of anal fistula is mainly surgical to eliminate the fistula prevent recurrence and preserve anal continence. LIFT (Ligation of intersphincteric fistula track) is an advanced technique for saving...
Clinical profile of patients with inguinal hernias
In the early part of the first century A.D., Celsus14, a famous Roman surgeon described the operation in vogue at the time in the Greek-Roman era. He gave an elaborate description of anatomy, pathology, and etiology of i...
A comparative study of Glyceryl Trinitrate versus surgical management of chronicanal fissure
Background: Anal fissure is an elongated ulcer in the long axis of lower anal canal causing significant morbidity due to sharp severe anal pain, especially during defecation. Young adults are the usual sufferers. Aims an...