AN APPRAISAL OF HOLLOW VISCUS INJURY IN ABDOMINAL TRAUMA

Ramanuj Mukherjee; Madhav Parik; Abhishek Kumar Rai; Pritha Roy; Gouri Mukhopadhyay

Volume : VI, Issue : X, October - 2017

AN APPRAISAL OF HOLLOW VISCUS INJURY IN ABDOMINAL TRAUMA

Ramanuj Mukherjee, Madhav Parik, Abhishek Kumar Rai, Pritha Roy, Gouri Mukhopadhyay

Abstract :

INTRODUCTION

Hollow viscus injury (HVI) following abdominal trauma is a clinical diagnostic challenge resulting in delayed intervention and poor outcomes. The specific aims were to determine patterns of abdominal trauma and factors determining outcome in patients of HVI.

METHODS

An observational study was performed in a tertiary care hospital from January 2015 to may 2017. Parameters studied were age; sex; time, mode, site and grade of injury; associated injuries; diagnostic tests; types/timing of treatment; morbidity and mortality and factors affecting outcome.

RESULTS

24.07% patients of all recorded abdominal trauma cases had HVI. Overall mortality and morbidity rates were 49.45% and 16.4% respectively. Morbidity was independently related to hemodynamic instability (P=0.061), multiple site bowel injury (P = 0.159), grades of injury and co–morbidities (P=0.045). Mean duration of hospital stay was 9 days.

CONCLUSION

There is a lack of conclusive data regarding HVI in India. Proper documentation, along with formulation of effective management strategies is required to reduce morbidity and mortality associated with HVI.