A CLINICAL STUDY OF BLUNT INJURY ABDOMEN AND MANAGEMENT

Dr. Y. V. Jayaramudu, Dr. M. Hari Babu, Dr. Dasari Stephen Naveen

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 department1,
and is responsible for substantial morbidity and mortality.
Road traffic accidents and urban violence respectively, are the leading causes of blunt and penetrating trauma to this area of the body.
AIM: This study was designed to determine the incidence and pattern of abdominal injury in trauma patients.
METERIALS AND METHODS: This clinical study was carried out on patients admitted in trauma care unit Santhiram Medical College&
general hospital, Nandyal
Inclusion criteria: Patients admitted with history of blunt trauma abdomen due to Road traffic accidents, accidentalfalls, trauma by blunt objects
and assault.
RESULTS: In our study,road traffic accident were the most common cause of blunt injuryabdomen.predominatetly males .most commaon cause
of death is septicemia
CONCLUSION: Blunt trauma to abdomen is on rise due to excessive use of motor vehicles.
It poses a therapeutic and diagnostic dilemma for the attending surgeon due to wide range of clinical manifestations ranging from no early
physical findings to progression to shock.


Keywords


Blunt injury abdomen,Road traffic accident ,mortality

Full Text:

PDF

References


Nishijima DK, Simel DL, Wisner DH, Holmes JF JAMA. 2012 Apr;307(14):1517-27.

Tso P, Rodriguez A, Cooper C, Militello P, Mirvis S, Badellino MM, et al. Sonography in blunt abdominal trauma: a preliminary progress report. J Trauma. Jul 1992;33(1):39-43; discussion 43-4.

Neuhof H, Cohen I. Abdominal Puncture In The Diagnosis Of Acute Intraperitoneal Disease. Ann Surg. Apr 1926;83(4):454-62.

Root Hd, Hauser Cw, Mckinley Cr, LafaveJw, MendiolaRp Jr. Diagnostic Peritoneal Lavage. Surgery. May 1965;57:633-7.

Wiig JN. Splenic injury a prospective multicentre study on non operative and operative treatment. Br J Surg 74: 4 31.

Ernest E. Moore, MD, Thomas H. Cogbill, MD, Mark Malangoni, MD, Gregory J. Jurkovich, MD, and Howard R. Champion, MD ” Scaling system for organ specific injuries”

Moore E E, Cogbill T H, Jurkovich G J, Shackford S R, Malangoni M D, Champion H R. Organ injury scaling : Spleen and liver (1994 version) J Trauma. (1995); 38 (3): 323-324.

Boffard, Ken; Brooks, Adam (2001). “Pancreatic, splenic and duodenal injuries”. In Holzheimer RG, Mannick JA. Surgical Treatment : Evidence –Based and Problem-Oriented. Munich: Zuckschwedt. NBK6884.


Refbacks

  • There are currently no refbacks.