Volume : VIII, Issue : III, March - 2019
A PROSPECTIVE STUDY OF ASSESSMENT OF SOLID ORGANS IN CASES OF BLUNT ABDOMINAL TRAUMA
Dr. Nikhil Chauhan, Dr. Mohit Kumar Badgurjar, Dr. Pankaj Saxena
Abstract :
Blunt trauma continues to be the most common mechanism of injury to the abdomen. This is a part related to the consequences of accidents due to automobiles, although falls, assaults and industrial accidents too contribute significantly. Abdominal injuries can be particularly dangerous because it is often difficult to assess intra¬abdominal pathology in a victim with multiple injuries. AIMS AND OBJECTIVES; To study the incidence and clinical profile of BTA and its mechanics and assess solid organs injury (viz. liver, spleen, kidney, pancreas). MATERIALS AND METHODS; Study conducted in the Department of General Surgery, Geetanjali Medical College and Hospital in a prospective manner where all the subjects of blunt trauma abdomen with or without poly–trauma were categorized according to the involvement of solid organ injury(s) only and no hollow viscous injury based on CT scan and sonography findings. RESULTS; Out of 75 patients which were managed conservatively none died. Fourteen of these patients presented in hospital in hemodynamically unstable condition and polytrauma. 11 patients were operated within 24 hours of admission, out of which 7 died. 14 patients were converted from conservative to operative procedures after 24 hours of observation. The patients which were admitted early (<12 hrs) have less mortality (1.96%) as compared to higher mortality (25.1%) with delayed (>12 hrs) admission (p<0.05). CONCLUSION; Multiple organ involvement cause more mortality than single organ involvement. Conservatively managed patients had early and better recovery. Road traffic accident forms the most common mode of injury. So efforts should be made to ing road traffic regulations into strict action and traffic norms regulated.
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DOI : 10.36106/ijsr
Cite This Article:
A PROSPECTIVE STUDY OF ASSESSMENT OF SOLID ORGANS IN CASES OF BLUNT ABDOMINAL TRAUMA, Dr. Nikhil Chauhan, Dr. Mohit Kumar Badgurjar, Dr. Pankaj Saxena INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-3 | March-2019
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A PROSPECTIVE STUDY OF ASSESSMENT OF SOLID ORGANS IN CASES OF BLUNT ABDOMINAL TRAUMA, Dr. Nikhil Chauhan, Dr. Mohit Kumar Badgurjar, Dr. Pankaj Saxena INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : Volume-8 | Issue-3 | March-2019
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