STAB INJURY: RETROSPECTIVE AND PROSPECTIVE STUDY IN TERTIARY CENTRES IN CENTRAL INDIA
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 27
Abstract
AIMS AND OBJECTIVES: The aim of this study was to, 1. Evaluate the incidence of stab injuries admitting in our institute, to know various parameter and its association with injuries such as age group, sex ratio, clinical presentation. 2. Various surgical intervention and conservative treatment according the nature of stab injuries and through examination. 3. Morbidity and mortality of these patients, settings and design. The study was conducted in a retrospective and prospective manner and included cases between January 2009 and September 2013. METHODS AND MATERIALS: 424 patients admitted with stab injuries in ICU and ward. Various surgical interventions were done according to standard indication such as laparotomies, thoracotomies, vascular repair etc., and results reported. RESULTS: Out of 424 patients there were over all 413 males (97.4%) and 11 females (2.6%) highest number of cases (226) in the third decade(21-30) i.e. 53.3% maximum number of cases are from 11-40 yrs. Majority of the stab wounds were homicidal in nature comprising 386 cases i.e. 91% followed by are accidental. Chaku (knife) were the most common weapon. The Chaku was used in 351 cases i.e. 82.8% maximun numbers of patients 309 were presented with localised tenderness at site of stab injury i.e 72.87%. In the perspective of management 244 abdominal stab that there were total 189(44.6%) exploratory laparotomy. In 189 laparotomies peritoneal breech in 114 patients on local examination/exploration was the major indication there were 114 i.e., 60.3% CONCLUSION: Stab injuries are becoming common nowadays because people often try to settle interpersonal relationship and political problems by mean of stabbing, although its incidence more in our country as compared to European studies because of overpopulation unemployment and poverty. Incidence of stab injury can be reduced by improving the social morale of people especially the younger generation by providing good education, employment, preventing alcohol abuse Proper law enforcement and some form of penalty for carrying the knife – commonest weapon. Mortality can be reduced by prompt transportation of injured patient to hospital especially by the police. Adequate resuscitation in the casualty room, supply of blood in blood banks during emergency hours. Supervision by skilled and experienced surgeons especially in mass casualties, strict aseptic precaution during surgery and good post-operative care.
Authors and Affiliations
Raikwar R. S, Odiya S, Ashish Dubey, Sachin Arora
Keywords
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- EP ID EP231002
- DOI 10.18410/jebmh/2015/574
- Views 93
- Downloads 0
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