scholarly journals Evaluation of the Viscus injury in Abdominal Trauma

2020 ◽  
Vol 3 (1) ◽  
pp. 56-58
Author(s):  
Nishit R Santoki ◽  
Pranjal Sangole ◽  
Gyaneshwar Rao
Keyword(s):  
Abdominal Trauma ◽  
Trauma Care ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Age Group ◽  
Hollow Viscus ◽  
Stab Injury ◽  
Diagnosis And Management ◽  
Accident Site

Background: The diagnosis of hollow viscus injury with advanced diagnostic tools and management of trauma by conservative and surgically by laparotomy and correction of anatomy. Hence such injuries are frequently overlooked leading to increased morbidity and mortality. Thus, this study is intended to throw light upon the prompt diagnosis and management of hollow viscus injuries in trauma. Hence the aim of the present research was to study the diagnosis and management of hollow viscus injuries. Subjects and Methods: A total of 100 cases were included in the study. All the patients were above the age of 11 years and maximum age of 80 years. Most of the patients included were male with ration of 4:1. After recording of history clinical examination followed by radiological, serological and operative findings were recorded. Data was analyse to study the male: female ratio, etiologies of viscous injury, investigation done and possible management for the treatment. Results: On analysis of the data, most common reason for the abdominal trauma was found to be road traffic accident followed by stab injury. The maximum of the patients belong to the age group of 2 to 30 years. Most common reason for the abdominal trauma was found to be road traffic accident followed by stab injury. Conclusion: It is mostly seen in the age group of 21-30 years which form the young and reproductive group. These patients’ measures should be taken to prevent these accidents and care of victims at the accident site. Well established trauma care centers should be established at least at every taluk hospital. Measures for early transport of the patients from the accident site to the trauma care centres to be undertaken.

scholarly journals Clinical study of hollow viscus injury in abdominal trauma

2017 ◽  
Vol 5 (1) ◽  
pp. 39
Author(s):  
Sanjay Jain ◽  
Dinkar Maske ◽  
M. C. Songra
Keyword(s):  
Small Bowel ◽  
Abdominal Trauma ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Female Gender ◽  
Bowel Injury ◽  
Solid Organ ◽  
Small Bowel Injury ◽  
Hollow Viscus

Background: Abdominal injury is leading cause of morbidity and mortality at present due to great improvement in man's lifestyle and development of industries.Methods: A total 100 cases of abdominal trauma (both blunt and penetrating) were studied in the present study in our institute for period of 18 Months.Results: Males belonging to young age group of 21-30 were most commonly affected. Road traffic accident is most common mode of injury. Abdominal pain seen in 93% of patients. Abdominal tenderness seen in 86% of patients. Plain x ray abdomen erect was sensitive in detecting hollow viscus injuries. Diagnostic peritoneal lavage is better than four quadrant aspirations. Ultrasound examination gives a clear picture of solid organ injury and free fluid. Most common injured viscera in the present study is small bowel and they were managed by simple suturing and closure of perforation and resection and anastomosis. Postoperative complications like wound infection, wound dehiscence, respiratory complications, pelvic abscess and faecal fistula were seen. The duration of stay for most of the patients in this study was between 11-20 days with mean of 15 days. Mortality in this study was 7%. Conditions such as, female gender, long interval between injury and operation, presence of shock on admission, and small bowel injury worsen the prognosis in penetrating abdominal trauma.Conclusions: Young males are most commonly affected due to road traffic accident. Conditions such as, female gender, long interval between injury and operation, presence of shock on admission, and small bowel injury worsen the prognosis in penetrating abdominal trauma.

scholarly journals Analysis And Clinical Study Of Surgical Management And Outcome Of Blunt Abdominal Trauma

2021 ◽  
Vol 23 (2) ◽  
pp. 12-21
Author(s):  
Ravi V. Satasia ◽  
Sanjay R. Chauhan ◽  
Aimanhusen M. Payala ◽  
Aarsh Panchal ◽  
Jaykumar Patel ◽  
...  
Keyword(s):  
Latent Period ◽  
Clinical Examination ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Age Group ◽  
Abdominal Injuries ◽  
The Impact

INTRODUCTION: Trauma during Road Traffic Accident is a major public health problem in all countries. It causes death, disability or both. 50% die immediately at the time of accident. 25% die in golden hour (4–6 hours) of trauma. 25% may die late during treatment period due to sepsis and complications. AIMS AND OBJECTIVES: 1)To study the impact of blunt abdominal trauma on abdominal solid organs like spleen, liver and hollow viscera like stomach and intestine along with various mode of injuries and their different type of management and their outcomes. MATERIALS AND METHODS: This is a prospective study of blunt abdominal injuries during the period from June 2019 to January 2021 in Sheth Lallubhai Gordhandas Municipal General Hospital, Ahmedabad. Number of cases studied is 60. Clinical Data of admitted patient were collected by their detail history after stabilizing the patient, clinical examination with appropriate investigations. RESULTS AND DISSCUSION: In our Study majority of the patients belonged to 21-30 years age group, followed by 31-40 years age group. 46 cases were males, with females accounting for only about 14 cases. 35 patients were operated and 25 patients were selected for non-operative management. Road traffic accident was responsible for 48% of blunt abdominal trauma cases, while fall from heights accounted for 18% of cases and blow with blunt object was responsible for 34% of injuries. Majority of the patients presented with abdominal pain (100%) and abdominal tenderness (76%). Average latent period was between 12-18 hours. Majority of patients (50%) were taken for surgery between 6-10 hours of latent period. Associated extra abdominal injuries were found in 27 cases. Apart from routine investigations, abdomen x ray was done in all patients. Ultrasound of abdomen was done in 53 cases. CT scan was done in 21 cases. CONCLUSION: Propper clinical examination and appropriate investigations helps in management of patient either operative or non-operative which leads successful treatment in these patients. Other associated injuries greatly influence the outcome in morbidity and mortality.

scholarly journals Prospective study of management and outcome of blunt abdominal trauma (solid organs and hollow viscus injuries)

2017 ◽  
Vol 4 (10) ◽  
pp. 3262 ◽  
Author(s):  
Sandesh Kumar Srivastava ◽  
Anand Kumar Jaiswal ◽  
Dinesh Kumar
Keyword(s):  
Prospective Study ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Road Traffic ◽  
Age Groups ◽  
Initial Assessment ◽  
Age Group ◽  
Abdominal Injuries ◽  
Hollow Viscus ◽  
External Compression

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. Injury to intra-abdominal structures can be classified into 2 primary mechanism of injury-compression forces and deceleration forces. Compression or concussive force may result from direct blows or external compression against a fixed object. Deceleration forces causes stretching and linear shearing between relatively fixed and free objects.Methods: A prospective study of 48 patients admitted with blunt abdominal injuries in the department of surgery, B.R.D. Medical College Gorakhpur during a period of 1 year.Results: Majority of patients of blunt abdominal injuries in present study were in 11-20 year of age group followed by 31-40 year of age group followed by 41-50 year of age group. Female to male ratio was 7:1. In the present study 41% of patients were subjected to non-operative management.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.

scholarly journals The Effect of Age on Road Traffic Fatality Index in Ghana

2016 ◽  
Vol 5 (4) ◽  
pp. 111 ◽  
Author(s):  
Christian A. Hesse ◽  
John B. Ofosu ◽  
Samuel K. Darkwah
Keyword(s):  
Analysis Of Variance ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Traffic Accidents ◽  
Road Traffic ◽  
Age Groups ◽  
Age Group ◽  
Road Traffic Accidents ◽  
Older Population ◽  
Traffic Fatality

In this paper, data on road traffic casualties by age groups, from 2009 to 2013, will be used. Using published road traffic casualty statistics from the National Road Safety Commission of Ghana, a 2 ´ 8 contingency table is used to determine whether road traffic casualty and age group are independent. A one factor analysis of variance tests shall be used to conduct a comparative analysis of the rate of road traffic fatalities per 100 casualties across the various age groups in Ghana. A multiple comparison test, using the Fisher least significance difference (LSD) method, shall be conducted to determine which pairs of age groups are significantly different.The study will show that road traffic casualty is not independent of age group. The analysis of variance will show that there are significant differences in road traffic fatality indices (fatality per 100 casualties) among various age groups in Ghana. The risks of dying in a road traffic accident among children under 6 years and older population who are over 65 years are both significantly higher than those of other age groups. This points to the fact that, although smaller number of children under 6 years and older population who are over 65 years die in road traffic accidents each year, more and more people as a proportion of the recorded number of casualties, are being killed through road traffic accidents among these two categories of age groups. Thus, the probability of being killed in a fatal road traffic accident is significantly high in each of these two age groups.

Audit of medico legal death in metropolitan city of Warri, Nigeria.

2017 ◽  
Vol 3 (1) ◽  
pp. 29
Author(s):  
Uchendu J O ◽  
Nwachokor N F ◽  
Ijomone A E
Keyword(s):  
Central Nervous System ◽  
Nervous System ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Relevant Information ◽  
Age Group ◽  
Manner Of Death ◽  
Firearm Injuries ◽  
Unnatural Death

Aim: To describe the various medico legal autopsy cases with respect to sex, age, cause and manner of death. Material and Methods: This is a descriptive retrospective study of  972 medico-legal autopsy cases studied in Warri Metropolis from 1st Jan. 2003 to 31th December 2016. The relevant information was extracted and subsequently   analyzed statistically using SPSS version 22. Results: A total of 972 cases of medico legal autopsies of 843 males against 129 females were studied. Their ages of victims ranged from 0.4 years to 85 years, with a mean of   34.45 years and a peak age group in their 3rd decade. Homicidal, accidental, sudden natural, suicidal, and indeterminate cases accounted for 55.7% (541), 24.7% (240), 17.3% (168), 1.4% (14) and 0.9% (9) of the cases respectively. Firearm injuries, sharp weapon and blunt injuries, accounting for 374 (69.1%), 122(22.6%)  and 37(6.8%) of homicide cases. Road traffic accident, drowning,  burns injury and electrocution accounted for  119(49.6%), 34(14.2%), 26(10.8%) and 19(7.9%)  of accidental cases respectively. Cardiovascular, Central nervous system-related and infectious diseases are responsible for 79(47.0%), 21(12.5%) and 15(8.9%) of sudden natural deaths observed in this study.  Hanging and corrossive chemical ingestion accounted for 10(71.4%) and 4(28.6%) respectively of the suicide cases, and together representing a MFR of   3.7:1. Conclusion: Our study showed that firearm injuries, road traffic accident and sharp weapons injuries are the leading cause of unnatural death while cardiovascular diseases account for most cases of sudden natural deaths

scholarly journals EPIDEMIOLOGY OF FRACTURES AND DISLOCATIONS IN CHILDREN

2017 ◽  
Vol 53 (1) ◽  
pp. 81
Author(s):  
Hans Kristian Nugraha ◽  
Agus Adiantono
Keyword(s):  
Road Safety ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Single Fracture ◽  
Age Group ◽  
Major Health Problem ◽  
Major Health ◽  
Pediatric Fractures ◽  
The World

Fracture is quite a common occurrence in the age group of children, with a fairly wide variety of epidemiology throughout the world, hence it could be considered as a major health problem. A retrospective study of all pediatric fractures presenting to Dr. Soegiri General Hospital Lamongan, Indonesiain 2015 was undertaken. It showed that 79.5% of children’s fractures occurred in males and that 86.76% presented as a single fracture, whileelbow dislocation is the most prevalent dislocation in this study.Analysis of pediatric fractures shows that there is a trimodal distribution of single fracture with age, withdistal radius/ulna fracture as the most prevalent single fracture.The commonest cause of single fracture are road traffic accident, and the majority involve the upper limb. Those suggested that there should be more concern about road safety program in Indonesia.

scholarly journals The Role of Computed Tomography in Blunt Abdominal Trauma

2015 ◽  
Vol 53 (200) ◽  
pp. 227-230
Author(s):  
Om Bahadur Karki
Keyword(s):  
Computed Tomography ◽  
Positive Predictive Value ◽  
Ct Scan ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Predictive Value ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Common Mechanism

Introduction: Blunt injury trauma is regularly encountered in the emergency department. Diagnostic tools that help in optimum management of blunt abdominal trauma include; Focussed Assessment Sonography for Trauma scan, Diagnostic peritoneal lavage and Computed Tomography scan. The aim of this study is to determine the validity of CT scan as an accurate diagnostic tool and its role in management of patients with blunt abdominal trauma. Methods: A prospective analysis of 80 patients of blunt abdomen trauma who were admitted in Manipal Teaching Hospital, Pokhara, Nepal within a span of 15 months was done. Demographic data, mechanism of trauma, management and outcomes were studied. Organ injuries were graded using the Organ Injury Scale guidelines. Results: Most of the patients in our study were in the age group of 21-40 years with an M: F ratio of 2.3:1. Road traffic accident (47.5%) was the most common mechanism of injury. Spleen (27.5%) was the commonest organ injured. CT scan was superior to FAST scan and had sensitivity of 97.3% specificity 75% positive predictive value 98.6%. FAST scan had sensitivity of 78.9%, specificity 50%, positive predictive value 96% with p- value of 0.0034. 81% of patients were conservatively managed. Conclusions: In conjunction with close clinical monitoring, CT scan is reliable in the evaluation and management of blunt abdominal trauma patients. Our study also shows CT as a superior diagnostic modality compared to FAST scan. Keywords: blunt abdominal trauma; CT scan; FAST scan; road traffic accident.

scholarly journals Gastric rupture following blunt abdominal trauma: a case report

2019 ◽  
Vol 6 (10) ◽  
pp. 3869
Author(s):  
Kritika Tiwari ◽  
Anuja Athale ◽  
Siddhartha K.
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Road Traffic Accident ◽  
Traffic Accident ◽  
Road Traffic ◽  
Gastric Perforation ◽  
Abdominal Injuries ◽  
Concomitant Injuries ◽  
Severity Of Injury ◽  
Gastric Rupture

Gastric perforations following blunt abdominal trauma are rare, accounting for <2% of all blunt abdominal injuries. This is usually associated with other solid visceral injuries. Isolated blunt gastric ruptures are very rare. Severity of injury, timing of presentation and presentation following last meal as well as concomitant injuries are important prognostic factors. We present a patient with gastric perforation following road traffic accident.

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