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Blunt Trauma Abdomen in Surgical Emergency: A Retrospective Study

Associate Professor, Department of Gen. Surgery, Anugrah Narayan Memorial Magadh Medical College, Gaya, Bihar 823001, India , Mukesh Kumar1 , Kishor Kumar Sinha2 , Balkeshwar Kumar Suman3

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New Indian Journal of Surgery 9(5):p 607-610, Sep-Oct 2018. | DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9518.11

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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 

Keywords: Blunt Trauma Abdomen; Operative/ Nonoperative Management; Road Traffic Accident.
 

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DOI: DOI: https://dx.doi.org/10.21088/nijs.0976.4747.9518.11

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