Blunt abdominal trauma: the experience in rural India and review of literature

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dc.contributor.authorAhmed, Mohd Hamid Shafiqueen_US
dc.contributor.authorTamgadge, Lalit Vishwanathen_US
dc.contributor.authorGurav, Prakash D.en_US
dc.contributor.authorDalavi, Santosh B.en_US
dc.contributor.authorBankar, Sanketen_US
dc.contributor.authorParmar, Riteshen_US
dc.date.accessioned2020-11-18T10:00:38Z
dc.date.available2020-11-18T10:00:38Z
dc.date.issued2020-01
dc.description.abstractBackground: Blunt Abdominal trauma is one of the most common injuries caused due to road traffic accidents. The rapid increase in number of motor vehicles and its aftermath has caused rapid increase in number of victims due to blunt abdominal trauma. As the care of patients with blunt abdominal injuries is largely a surgical responsibility and abdominal injuries involving major hemorrhage from solid viscera constitute surgical emergencies. Abdominal blunt traumas represent a real diagnostic and therapeutic challenge to even a most experienced surgeon, thereby representing importance of its study. Early diagnosis and effective management help in decreasing mortality in blunt abdominal trauma.Methods: Prospective study of 50 patients admitted to the institute with history of Blunt Abdominal Trauma. After initial resuscitation of the patients, thorough assessments for injuries were carried out in all the patients. Documentation of patients, which included identification, history, clinical findings, diagnostic test, operative findings, operative procedures and complications during the stay in the hospital were all recorded on a Performa specially prepared. The management was decided depending upon history, clinical examination and investigations.Results: Males were predominantly affected, and most cases were between the age group of 21-40 years (76%). Majority of the patients (90%) presented with the complaint of abdominal pain followed by abdominal distension (56%). 36(60%) patients were managed conservatively while operative interventions were required in 24(40%) patients. The common surgeries performed in the patients included splenectomy, primary closure of perforation and resection and anastomosis of bowel. Majority of the patients (80%) were discharged within 20 days of admission. The mortality in present study was 13.3%.Conclusions: Blunt Abdominal Trauma is one of the important causes of morbidity and mortality in young adults. Immediate resuscitative measures, management of associated injuries and appropriate operative intervention are important parts of management of such cases.en_US
dc.identifier.affiliationsDepartment of Urology, Lokmanya Tilak Municipal Medical College and Sion Hospital, Mumbai, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, Government Medical College, Chandrapur, Maharashtra, Indiaen_US
dc.identifier.affiliationsDepartment of General Surgery, Government Medical College, Miraj, Maharashtra, Indiaen_US
dc.identifier.citationAhmed Mohd Hamid Shafique, Tamgadge Lalit Vishwanath, Gurav Prakash D., Dalavi Santosh B., Bankar Sanket, Parmar Ritesh. Blunt abdominal trauma: the experience in rural India and review of literature. International Journal of Research in Medical Sciences. 2020 Jan; 8(1): 322-326en_US
dc.identifier.issn2320-6071
dc.identifier.issn2320-6012
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/212048
dc.languageenen_US
dc.publisherMedip Academyen_US
dc.relation.issuenumber1en_US
dc.relation.volume8en_US
dc.source.urihttps://dx.doi.org/10.18203/2320-6012.ijrms20195930en_US
dc.subjectBlunt abdominal traumaen_US
dc.subjectHemoperitoneumen_US
dc.subjectRoad traffic accidenten_US
dc.titleBlunt abdominal trauma: the experience in rural India and review of literatureen_US
dc.typeJournal Articleen_US
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