A clinical study of hollow viscus injury in the cases of abdominal trauma
Journal Title: Medpulse International Journal of Surgery - Year 2019, Vol 9, Issue 1
Abstract
Background: In the day to day life trauma is the major cause of mortality and morbidity. Abdominal organs injury is third most common injury following extremities and head injury. In the present study we made efforts to highlight common pattern of various parameters, in the patients having hollow viscus injury in the cases of abdominal trauma. Objective: To determine the common presentation of pattern and to evaluate outcome of hollow viscus injury from blunt abdominal trauma. Methods: This was a cross-sectional observational study including patients with blunt abdominal trauma leading to hollow viscus injury admitted in G.S. Medical College and KEM Hospital, Mumbai, Maharashtra, India. Randomly selected a total of 100 patients with hollow viscus injury due to blunt abdominal trauma, who underwent laparotomy at our institute, were taken as study population. Data regarding clinical presentation, anatomical distribution, management and outcome were recorded and analysed. Results: Out of 100 patients 64% were men and 36% were women. Road traffic accident was the most common mechanism of injury (66%). Pain in abdomen was most commonly presenting symptom in 100% study population. On USG examination absence peristalsis was seen in 58% followed by presence of free fluid in 55% study population. Most commonly performed procedure was primary repair and closure of the perforation (68%). Post-operative complication wound infection was seen in 24% study population. Average hospital stay was 1 to 10 days for 68% patients under study. Conclusion: Although early recognition of hollow viscus injuries from blunt abdominal trauma may be difficult in all cases, it is very important due to its life threatening potential. Early detection helps in prognosis.
Authors and Affiliations
Ashok F Shelake, James Joseph Nadar, Dwarka R Dhanve
Keywords
Related Articles
- EP ID EP471556
- DOI 10.26611/106914
- Views 151
- Downloads 0
A randomized controlled trial comparing low cost vacuum assisted dressings and conventional dressing methods in the management of diabetic foot ulcers
Background: Diabetic neuropathy directly contributes in genesis of non healing diabetic ulcers, ischemic necrosis leads to tissue breakdown. VAC therapy influences positive mechanical forces on the growth of tissues, esp...
A study of radiofrequency ablation versus milligan morgan haemorrhoidectomy for the treatment of grade III hemorrhoids
Background: Development in the treatment of haemorrhoidal disease over the last 20 years has moved towards less invasive and non-ablative surgery. Several new techniques have been developed, but the use of these techniqu...
Transurethral resection of prostate (TURP) without traction: Safety and feasibility study
Objective: To study the feasibility and safety of Transurethral Resection of Prostate (TURP) without traction on per urethral catheter, and to compare the outcome in patients of TURP with and without traction for treatme...
Study of chemical composition of gall stones at a tertiary care hospital
Background: Gallstones are among the most common gastrointestinal illness requiring hospitalisation. About 1 in every 10 adults has gallstones. Objectives: Gallstones are a major cause of morbidity throughout the world,...
A study of pattern of breast diseases in patients presenting in surgery department at a tertiary care hospital
Background: Breast lesions are one of the major causes of surgical problems in females and present with marked variation in their histological types Aims and Objectives: To study pattern of breast diseases in patients pr...