Abstract

Background: Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. So we evaluate the spectrum and outcome of blunt trauma.
 Methods: Hospital based prospective study conducted on 100 patients at department of general surgery.
 Results: Distribution according to type of injury consisted of maximum cases, 84 (84%) of road traffic accidents, 11% cases were of fall from height.
 Conclusions: Males were pre-dominantly affected. Road traffic accident was the most common cause of injury. Though conservative management is successful in carefully selected patients, operative management remains the main stay of treatment.
 Keywords: Blunt abdominal trauma, Liver injury, Perforation, Splenic injury

Highlights

  • Trauma has been called the neglected disease of modern society, despite its close companionship with man

  • Though conservative management is successful in carefully selected patients, operative management remains the main stay of treatment

  • Inclusion Criteria: Patients admitted with history of blunt trauma abdomen due to road traffic accidents, accidental falls, trauma by blunt objects and assault attending to Dept. of general Surgery

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Summary

Introduction

Trauma has been called the neglected disease of modern society, despite its close companionship with man. Trauma is the leading cause of death and disability in developing countries and the most common cause of death under 45 years of age.[1] World over injury is the 7th cause of mortality and abdomen is the third most common injured organ. Abdominal injuries require surgery in about 25% of cases. Sample size: 100 patients reporting to the commonly injured organs as a result of blunt trauma. Initial resuscitation along with focused assessment with sonography in trauma (FAST) and computed tomography (CT) abdomen are very beneficial to detect those patients with minimal and clinically. Inclusion Criteria: Patients admitted with history of blunt trauma abdomen due to road traffic accidents, accidental falls, trauma by blunt objects and assault attending to Dept. 10% of patients have persistent hypovolemic shock as a result of continuous blood loss in spite of aggressive fluid resuscitation and require an urgent laparotomy. For continuous variables independent samples’s ttest was used. p-value

Results
Discussion
Sabiston’s Textbook of surgery:18th edition: vol 1
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