Abstract

Background: The diagnosis of hollow viscus injury with advanced diagnostic tools and management of trauma by conservative and surgically by laparotomy and correction of anatomy. Hence such injuries are frequently overlooked leading to increased morbidity and mortality. Thus, this study is intended to throw light upon the prompt diagnosis and management of hollow viscus injuries in trauma. Hence the aim of the present research was to study the diagnosis and management of hollow viscus injuries. Subjects and Methods: A total of 100 cases were included in the study. All the patients were above the age of 11 years and maximum age of 80 years. Most of the patients included were male with ration of 4:1. After recording of history clinical examination followed by radiological, serological and operative findings were recorded. Data was analyse to study the male: female ratio, etiologies of viscous injury, investigation done and possible management for the treatment. Results: On analysis of the data, most common reason for the abdominal trauma was found to be road traffic accident followed by stab injury. The maximum of the patients belong to the age group of 2 to 30 years. Most common reason for the abdominal trauma was found to be road traffic accident followed by stab injury. Conclusion: It is mostly seen in the age group of 21-30 years which form the young and reproductive group. These patients’ measures should be taken to prevent these accidents and care of victims at the accident site. Well established trauma care centers should be established at least at every taluk hospital. Measures for early transport of the patients from the accident site to the trauma care centres to be undertaken.

Highlights

  • Blunt abdominal trauma results in injury to the bowel and mesenteries in 3–5% of cases

  • An urgent laparotomy is necessary if there is evidence of active bleeding or peritonitis at the initial examination, but these situations are uncommon. [1,2]

  • Hollow viscus injuries in Abdominal trauma refers to injuries pertaining to GI tract from cardiac end of oesophagus to anus, gall bladder and biliary tract and lower genito-urinary tract

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Summary

Introduction

Blunt abdominal trauma results in injury to the bowel and mesenteries in 3–5% of cases. The diagnosis of hollow viscus injury with advanced diagnostic tools and management of trauma by conservative and surgically by laparotomy and correction of anatomy. Such injuries are frequently overlooked leading to increased morbidity and mortality. Results: On analysis of the data, most common reason for the abdominal trauma was found to be road traffic accident followed by stab injury. Conclusion: It is mostly seen in the age group of 21-30 years which form the young and reproductive group These patients’ measures should be taken to prevent these accidents and care of victims at the accident site. Measures for early transport of the patients from the accident site to the trauma care centres to be undertaken

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