Original Articles
Prevalence of abdominal injuries in trauma patients and their common pattern of abdominal injuries | |
Dr. Ravinder Pal, Dr. Vishal Kirti Jain, Dr. Hemant Nautiyal | |
Aim: Prevalence of abdominal injuries in trauma patients and their common pattern of abdominal injuries. Materials and methods: The present cross-sectional study was conducted in the Department of General surgery over a period of 12 months after taking written informed consent.A total of 55 patients were recruited during the study period. The pattern of abdominal injury, time of injury, mechanism of trauma, and associated injuries were documented. Patient condition was next classified as either stable or unstable. Finally, a plan was developed for additional evaluation and management.Each patient's outcome was coded as one of the following: Surgical intervention; admitted for observation; admitted to the Intensive Care Unit; recovered while under observation; or died while in the ED. Results: During the 2 year period of study, a total of 1445 trauma patients were admitted to our centre. Of these, 55(3.8%) patients had abdominal trauma, and these made the study population.Most frequent sign and symptoms in both blunt and penetrating trauma was abdominal pain,tenderness and abdominal distension. The majority of patients sustained blunt abdominal injuries. 33(60%) were treated surgically and remaining 22(40%) were treated conservatively.Post-op complications were recorded in 16(29%) patients, the most common being wound dehiscence. The mortality rate was 12.7%. Conclusion: Improved motor vehicle safety, rapid emergency transport in well-equipped ambulances and rapid intervention should help to reduce the mortality and morbidity of many of the victims of major trauma. |
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