ANALYSIS OF BLUNT ABDOMINAL TRAUMA CASES AT TERTIARY CARE HOSPITAL BIKANER (RAJASTHAN)

Objective: To diagnose the cases of hepatic injury due to blunt abdominal trauma in a shortest possible time and find out the way of efficient and planned management of hepatic injury in our present setting. Materials and methods: This study was done in the casualty department of Dhaka Medical College Hospital and 50 patients of hepatic injury following blunt abdominal trauma were selected over a period of January 2010 to December 2010. All 50 patients were admitted within 24 hours of incidence. The patients were diagnosed clinically by history and physical examination and relevant investigations. Immediately after admission patients were resuscitated by clearance of airway, maintenance of respiration, arrest of external bleeding and maintenance of normal circulation (ATLS Protocol). After resuscitation further management was planned depending upon the condition of the patient. Clinical presentation, overall management and outcome were evaluated by the available resources of casualty ward of DMCH. Results: Most patients were male (88%) and 68% of patients were belonged to age group of 21 to 40 years. Most of the patients (90%) were injured as a result of road traffic accidents. All patients had a history of trauma and most of them presented with abdominal pain, tenderness muscular rigidity of abdomen and shock (38%). Only 13 (26%) patients had isolated hepatic injury. Rest of the patients had associated other organ injuries. Majority patients (46%) had Grade-I hepatic injury. Out of 50 patients, 46 were operated and most of them had other intra abdominal organ injuries and 4 patients were given non-operative management. Suture hepatorrhaphy was done in 38 (76%) cases. Most common post operative complications were pulmonary in origin (24%) and three patients were died in this series. Conclusion: Simple technique of hemostasis such as suture hepatorrhaphy is sufficient in most cases with adequate drainage and non operative management can be tried based on haemodynamic stability. J Dhaka Medical College, Vol. 27, No.1, April, 2018, Page 57-61

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Presentation and Management of Hepatic Injury due to Blunt Trauma in Patients Attending in Casualty Block of dmch- a Study of 50 cases

Journal of Dhaka Medical College ◽

10.3329/jdmc.v25i2.33981 ◽

2017 ◽

Vol 25 (2) ◽

pp. 133-137

Author(s):

Mohammad Mahfuzur Rahman Chowdhury ◽

SM Amjad Hossain ◽

Salma Sultana ◽

Rifat Zaman ◽

Md Alauddin ◽

...

Keyword(s):

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Traffic Accidents ◽

Hepatic Injury ◽

Road Traffic ◽

Operative Management ◽

College Hospital ◽

Medical College ◽

History Of ◽

Non Operative Management

Objective: To diagnose the cases of hepatic injury due to blunt abdominal trauma in a shortest possible time and find out the way of efficient and planned management of hepatic injury in our present setting.Materials and methods: This study was done in the casualty department of Dhaka Medical College Hospital and 50 patients of hepatic injury following blunt abdominal trauma were selected over a period of January 2010 to December 2010. All 50 patients were admitted within 24 hours of incidence. The patients were diagnosed clinically by history and physical examination and relevant investigations. Immediately after admission patients were resuscitated by clearance of airway, maintenance of respiration, arrest of external bleeding and maintenance of normal circulation (ATLS Protocol). After resuscitation further management was planned depending upon the condition of the patient. Clinical presentation, overall management and outcome were evaluated by the available resources of casualty ward of DMCH.Results: Most patients were male (88%) and 68% of patients were belonged to age group of 21 to 40 years. Most of the patients (90%) were injured as a result of road traffic accidents. All patients had a history of trauma and most of them presented with abdominal pain, tenderness muscular rigidity of abdomen and shock (38%). Only 13 (26%) patients had isolated hepatic injury. Rest of the patients had associated other organ injuries. Majority patients (46%) had Grade-I hepatic injury. Out of 50 patients, 46 were operated and most of them had other intra abdominal organ injuries and 4 patients were given non-operative management. Suture hepatorrhaphy was done in 38 (76%) cases. Most common post operative complications were pulmonary in origin (24%) and three patients were died in this series.Conclusion: Simple technique of hemostasis such as suture hepatorrhaphy is sufficient in most cases with adequate drainage and non operative management can be tried based on haemodynamic stability.J Dhaka Medical College, Vol. 25, No.2, October, 2016, Page 133-137

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Clinico epidemiological study of blunt abdominal trauma in a tertiary care hospital in north western Himalayas

International Surgery Journal ◽

10.18203/2349-2902.isj20170426 ◽

2017 ◽

Vol 4 (3) ◽

pp. 874 ◽

Cited By ~ 1

Author(s):

Parikshit Malhotra ◽

Dhruv Sharma ◽

Sanjiv Gupta ◽

S. S. Minhas

Keyword(s):

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Traffic Accidents ◽

Road Traffic ◽

Tertiary Care ◽

Morbidity And Mortality ◽

Care Hospital ◽

Western Himalayas ◽

Abdominal Organs ◽

A Prospective Study

Background: Blunt abdominal trauma (BAT), a common form of trauma, is one of the major causes of morbidity and mortality. The study was aimed at the study of spectrum of injuries to various intra-abdominal organs after blunt trauma and to ascertain cause/mode of BAT in a hospital of hilly locality of Shimla.Methods: A prospective study was designed to conduct in the department of Surgery, IGMC, Shimla, India during the period of one year from 1st June 2005 to 31st May 2006. A total of 30 patients who had sustained BAT with or without other associated injuries were selected. In all patient’s history was taken and detailed physical examination done while concomitant resuscitation was performed. Chest and abdominal radiographs were done in all patients.Results: BAT is a major cause of morbidity and mortality especially in young people in the 11-40 years’ age group. Males are affected more than females. Road traffic accidents are the predominant mode of injury however, a relatively high incidence of blunt abdominal trauma due to falls is observed in a hilly state like ours. Spleen and liver are the two commonly injured organs after blunt abdominal trauma.Conclusions: Proper early diagnosis with initial and adequate resuscitation is beneficial in having a good outcome in patients of BAT.

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SPECTRUM AND OUTCOME OF BLUNT ABDOMINAL TRAUMA

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i1.876 ◽

2020 ◽

Vol 4 (1) ◽

Author(s):

Mahesh Kumar Sharma ◽

Dr. Arun Bhargava

Keyword(s):

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Traffic Accident ◽

Traffic Accidents ◽

Splenic Injury ◽

Road Traffic ◽

Age Groups ◽

Operative Management ◽

Fall From Height ◽

Type Of Injury

Background: Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. So we evaluate the spectrum and outcome of blunt trauma. Methods: Hospital based prospective study conducted on 100 patients at department of general surgery. Results: Distribution according to type of injury consisted of maximum cases, 84 (84%) of road traffic accidents, 11% cases were of fall from height. Conclusions: Males were pre-dominantly affected. Road traffic accident was the most common cause of injury. Though conservative management is successful in carefully selected patients, operative management remains the main stay of treatment. Keywords: Blunt abdominal trauma, Liver injury, Perforation, Splenic injury

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Blunt abdomen trauma: a study of 50 cases

International Surgery Journal ◽

10.18203/2349-2902.isj20181447 ◽

2018 ◽

Vol 5 (5) ◽

pp. 1763

Author(s):

Hardik J. Solanki ◽

Himanshu R. Patel

Keyword(s):

Mortality Rate ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Traffic Accidents ◽

Road Traffic ◽

Morbidity And Mortality ◽

Urethral Injury ◽

Care Hospital ◽

Road Traffic Accidents ◽

Female Ratio

Background: Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. Identification of serious intra-abdominal pathology is often challenging; many injuries may not manifest during the initial assessment and treatment period.Methods: This study was conducted on 50 patients of blunt abdominal trauma admitted in a Tertiary Care Hospital, Including All patients with blunt abdominal trauma and Patients of all age groups.Results: In present study age group affected was 11 to 20 years and 41 to 50 years (20% each). Next group was 21 to 30 years (18%), male: female ratio was 2.8:1, most common mode of injury was road traffic accidents. Incidence of road traffic accidents was 48%. In study 2 patients out of 3 patients expired due to late presentation, liver injured (34%), followed by spleen (16%). Other injuries were small intestine and mesentery (14%), Urethral injury (12%) and muscular hematoma (8%), clinical presentation was abdominal pain (90). Extremity fractures 14% of cases, postoperative complication of respiratory infections (50%). Wound infection was 25% of patients. 2 patients who died suffered postoperative complications. Mortality rate (40%) in hemodynamically unstable patients than in hemodynamically stable patients (3%), Survival rate 94% while mortality rate 6%.Conclusions: Morbidity and mortality can be prevented by timely initial resuscitation and correct diagnosis as well as management (operative or non-operative) which depend on patient’s hemodynamic stability and findings of imaging studies.

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A PROSPECTIVE STUDY ON CLINICAL PROFILE, DIAGNOSIS AND MANAGEMENT OF BLUNT TRAUMA ABDOMEN IN A TERTIARY CARE HOSPITAL

10.36106/gjra/4005213 ◽

2020 ◽

pp. 1-3

Author(s):

Kaushik Mandal ◽

Anirban Bhunia

Keyword(s):

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Motor Vehicle ◽

Road Traffic ◽

Tertiary Care ◽

Clinical Profile ◽

Gelatin Sponge ◽

Care Hospital ◽

Diagnosis And Management ◽

Study Results

Blunt abdominal trauma (BAT) is one of the most common injuries most often results from a motor vehicle collision and such incidents, combined with pedestrian versus automobile collisions. Aims: To evaluate the demographic and clinical profile, diagnosis and management of blunt abdominal trauma Methods: Our study was conducted over a period of 1 year (April 2019 to march 2020). A total no of 107 patients fulfilling inclusion criteria are allotted in the study and those with severe head injuries, vascular injuries and with major comorbidities are excluded from the study. Results: Males are predominantly affected. It is mostly seen in the age group of 21-40 yrs which form the young and reproductive group. Road traffic accidents form the most common mode of injury. FAST is a very important investigation. The most commonly injured organ in present study is liver which is managed by hepatorraphy and absorbable gelatin sponge packing. The present study showed a mortality rate of 6.5%.

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A CLINICAL STUDY OF BLUNT INJURY ABDOMEN IN TERTIARY CARE HOSPITAL

10.36106/1601540 ◽

2019 ◽

pp. 1-3

Author(s):

P. Monikha ◽

R. Ramakrishna Naik* ◽

P. Ravi Theja

Keyword(s):

Abdominal Trauma ◽

Traffic Accidents ◽

Road Traffic ◽

Head Injuries ◽

Tertiary Care ◽

Blunt Injury ◽

Care Hospital ◽

Tertiary Care Centre ◽

Safety Measures ◽

Socio Economic Impact

BACKGROUND : Blunt abdominal trauma is the 3rd most common form of injury in road traffic accidents after orthopaedic injuries and head injuries and the victims mostly are young, productive adults and hence it has got enormous 8 socio-economic impact. METHOD : Aprospective detailed study and analysis of 125 cases of abdominal trauma those admitted in this tertiary care centre over a period of 2 years from 2017 -2019 was undertaken with the review of the medical literature. RESULTS : Blunt injury abdomen is a major cause of morbidity and mortality in young age patients with Road traffic accident being the most common cause. Males are affected more than females. In our study, Liver is most commonly involved organ than spleen which is contrast to literature. CONCLUSION : Early diagnosis reduces the mortality rates and safety measures in roads prevent the injuries , both play a major role in good outcome.

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SPECTRUM OF BLUNT ABDOMINAL TRAUMA

International Journal of Medical and Biomedical Studies ◽

10.32553/ijmbs.v4i8.1331 ◽

2020 ◽

Vol 4 (8) ◽

Author(s):

Ajay Pal ◽

Indira . ◽

L. K. Kapil

Keyword(s):

Liver Injury ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Traffic Accidents ◽

Splenic Injury ◽

Road Traffic ◽

Age Groups ◽

Operative Management ◽

Initial Assessment ◽

Cross Sectional

Background: Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. Many injuries may not manifest during the initial assessment and treatment period. Methods: Hospital based cross-sectional study conducted at Trauma center and P.B.M Hospital, Bikaner Results: Distribution according to type of injury consisted of maximum cases, 86% of road traffic accidents 74 of which were male and 12 female. 10% cases were of fall from height, 6 were male and 4 female .Assault cases were 4%. Case distribution according to organ involved consisted of 54.00% cases of liver injury,18.00% cases were of splenic injury, 23.00% patients had ilial injury, Pancreatic injury occurred in 2patient. Conclusions: Males were pre-dominantly affected. Road traffic accident was the most common cause of injury. Though conservative management is successful in carefully selected patients, operative management remains the main stay of treatment. Keywords: Blunt abdominal trauma, Liver injury, Perforation, Splenic injury

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Role of ultrasound and CT scan in thearapetic outcome of blunt abdominal trauma in tertiary care hospital, Goa Medical College

Medpusle International Journal of Surgery ◽

10.26611/1061215 ◽

2019 ◽

Vol 12 (1) ◽

pp. 18-21

Author(s):

Veeresh H M ◽

◽

Rajesh T Patil ◽

Keyword(s):

Ct Scan ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Care Hospital ◽

Medical College

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A CLINICAL STUDY OF BLUNT INJURY ABDOMEN IN TERTIARY CARE HOSPITAL

10.36106/ijar/1601540 ◽

2019 ◽

pp. 1-3

Author(s):

P. Monikha ◽

R. Ramakrishna Naik* ◽

P. Ravi Theja

Keyword(s):

Abdominal Trauma ◽

Traffic Accidents ◽

Road Traffic ◽

Head Injuries ◽

Tertiary Care ◽

Blunt Injury ◽

Care Hospital ◽

Tertiary Care Centre ◽

Safety Measures ◽

Socio Economic Impact

BACKGROUND : Blunt abdominal trauma is the 3rd most common form of injury in road traffic accidents after orthopaedic injuries and head injuries and the victims mostly are young, productive adults and hence it has got enormous 8 socio-economic impact. METHOD : Aprospective detailed study and analysis of 125 cases of abdominal trauma those admitted in this tertiary care centre over a period of 2 years from 2017 -2019 was undertaken with the review of the medical literature. RESULTS : Blunt injury abdomen is a major cause of morbidity and mortality in young age patients with Road traffic accident being the most common cause. Males are affected more than females. In our study, Liver is most commonly involved organ than spleen which is contrast to literature. CONCLUSION : Early diagnosis reduces the mortality rates and safety measures in roads prevent the injuries , both play a major role in good outcome.

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