A CLINICAL STUDY ON LAPAROTOMY FINDINGS IN BLUNT INJURY ABDOMEN
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2018, Vol 7, Issue 18
Abstract
BACKGROUND Blunt injury abdomen is most commonly caused by road traffic accidents. The rapid increase in number of motor vehicles and its aftermath has caused rapid increase in number of victims of blunt abdominal trauma. Motor vehicle accidents account for 75%- 80% of blunt abdominal trauma. MATERIALS AND METHODS The present study comprises of 50 patients with blunt abdominal injuries admitted in surgical wards from December 2015 to November 2017. Patients were methodically enquired according to the proforma approved by the guide. A detailed history as to the mode of injury, thorough clinical examination and necessary investigations like routine investigations, special investigations including ultrasound and CT scan were done. RESULTS In this study, majority belonged to 21 - 30 years of age accounting to 42 percent followed by 31 - 40 years of age (22%). Sex wise distribution showed that majority (92%) were males and only 8% were females. Ultrasonography of abdomen was done in all 50 cases. Injury to spleen was most common (38%) followed by liver in 24% of cases on Ultrasonography abdomen. CECT was done in 35 cases. In CECT also, spleen was the most common organ to be injured (34.3%) followed by liver (28.6%) and hollow viscus (25.7%). A total of three patients died in this study. CONCLUSION Blunt injury abdomen with solid organ injury forms considerable load of patients in our society. Measures for early transport of the patients from the accident site to the trauma centres should be undertaken. Early diagnosis and repeated clinical examination and use of appropriate investigation form is the key to managing blunt injury abdomen patients.
Authors and Affiliations
Mudavatu Bhagavan Naik, Gali Satya Navamani, Durganeelima E. V
Keywords
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- EP ID EP417270
- DOI 10.14260/jemds/2018/492
- Views 95
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