A prospective observational study on clinical review of splenic trauma at government medical college, Jammu

Abstract

Background: The spleen is one of the intra-abdominal solid organs that is most usually wounded. If not detected at an early stage, the patient may present with shock. Even though treatment depends on the severity of splenic damage, stabilizing the patient remains the primary objective. The operational procedures, which may be splenorrhaphy or splenectomy, are performed using an open or laparoscopic approach. Aim and Objectives: The purpose of this study is to examine cases of splenic trauma as well as its treatment methods. We also wish to investigate the numerous causes, clinical characteristics, therapy strategies, and consequences of splenic trauma. Methods: A prospective observational research was conducted on 100 individuals with splenic damage. The trial duration was fifteen months. According to protocol, patients with clinical and radiological evidence of splenic trauma were categorized and provided either operational or non-operative therapy. During the hospital stay, both surgical and nonsurgical outcomes were examined and followed up on. Results: One hundred individuals were examined, including 72 men and 28 women. Road traffic accidents were the leading cause of injuries, followed by falls. The most prevalent injury was a grade III, whereas the most common accompanying injury was a rib fracture. Pneumonia was a common postoperative consequence. Conclusions: After a blunt abdominal injury in a young population, splenic damage is a genuine danger. After splenectomy, vaccination and the risk of OPSI (Overwhelming post-splenectomy infection) must always be considered. Early detection and prompt treatment of splenic trauma can save the patient's life.