Online ISSN: 2515-8260

A prospective study on the causes and management of blunt abdominal injury

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1Dr. Manish Patel, 2Dr. Anubha Soni, 3Dr. Devendra Bhayal

Abstract

ABSTRACT: Introduction: A very frequent emergency that is encountered in the Emergency/Surgical Department is Blunt abdominal trauma (BAT). In spite of the improved modes of prevention, recognition, diagnosis and treatment, BAT continues to be associated with significant morbidity and mortality. Aim: To study the causes and factors affecting the outcome of the patients with blunt abdominal trauma and evaluate the impact of blunt abdominal trauma on intra peritoneal organs like liver, spleen and hollow viscera like stomach, small intestine and large intestine, treated at our hospital. Methods: The study was conducted in IMCHRC among the patients who were admitted in the department of general surgery with blunt abdominal trauma. Conclusion: Males were predominantly affected. It is mostly seen in the age group of 31 to 45 years which form the productive age group. Road traffic accidents form the most common mode of injury followed by blow with blunt object. Liver was the most common organ injured followed by spleen. Spleen and liver together were most commonly injured organ followed by spleen, liver and mesentery. Majority of patients were managed conservatively and improved over the course of time while only four patients amongst 120 could not survive and died during the course of their stay in hospital.

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