January-March 2018

Surgical Management of Blunt Abdominal Trauma Study of 50cases

Jignesh Patel1*, Devendra Chaudhary2

1Assistant professor, 2Assistant Professor, Department of General Surgery, Government Medical College and new civil hospital, surat.


BACKGROUND:  Due industrial and automobile growth, incidents of accidental injuries are increasing with time and blunt abdominal injury is one of the common modes of injury in such accidents. It is also a common mode of injury during assault. In these cases, like tip of iceberg, internal injury may be more severe then it appears externally. So timely and rapid detection and management becomes important. Here we have studied patients of such injury who have required surgical intervention. METHODS & MATERIALS: This study consist of 50 cases of blunt abdominal trauma requiring surgical intervention, age from 10 to 70 years, in tertiary center (V.S. Hospital, Ahmedabad). They were evaluated clinically and investigated accordingly. RESULTS: Road Traffic Accident is the most common cause of blunt abdominal trauma. Highest incidence is noted in age group 21-30 (38%). Males are more vulnerable. Spleen is most commonly involved organ (48%), followed by liver (20 %) and intestine (18%). Mortality in this study is 4%. CONCLUSION: Less mortality and morbidity is present in blunt trauma victims who were primarily attended on site, immediately transported to higher institute with trauma care facilities. Here golden hours play role. Timely detection of injury and prompt management by team of experts plays important roll.

Keywords: Blunt abdominal trauma, surgical management

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