CORRELATION OF MODE OF INJURY, CLINICAL PRESENTATION TO THE ORGAN INJURY AND MANAGEMENT IN ABDOMINAL TRAUMA
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 13
Abstract
BACKGROUND Trauma is still the most frequent cause of death in the first four decades of life and it remains a major public health problem in every country. The abdomen is one of the most commonly injured region requiring surgical intervention in about 25% of cases. Abdominal trauma is traditionally classified as either blunt or penetrating. The peak incidence of abdominal trauma occurs in second to third decade with majority of patients being males. Aim- This prospective, observational, longitudinal study aims to correlate the modes of abdominal injury with its presentation (organ injured in trauma) and the management of the same. MATERIALS AND METHODS The study was conducted in Kasturba Medical College, Mangalore for the period of one and a half years. All the patients aged between 18-65 years with blunt or penetrating abdominal trauma were included in the study. Patients with head injury, thoracic injury with connective tissue diseases on corticosteroids, patients with abdominal TB, patients with inflammatory bowel disease, post splenectomy, post cholecystectomy were excluded from the study. The results were analysed using Chi-square test. RESULTS A total of 106 patients with blunt and penetrating abdominal trauma were observed during the period of study. Various modalities of blunt and penetrating injuries of the abdomen and the organs injured in each modality were observed. All penetrating abdominal injuries were operated, whereas most of the blunt injury abdomen cases were managed conservatively. CONCLUSION Through this study, it can be concluded that different modalities of abdominal trauma have different presentations with respect to organs involved.
Authors and Affiliations
Naga Aparna Peri, Rahul R. Bhat, Poornachandra Thejeswi D. S, Shivaprasad Rai B. K
Keywords
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- EP ID EP412223
- DOI 10.14260/jemds/2018/365
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