Prospective Study of Management of Solid Organ Injury in Blunt Trauma Abdomen

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dc.contributor.authorSingh, Baldeven_US
dc.contributor.authorAnant, Sarabjot Singhen_US
dc.contributor.authorKapoor, Sudershanen_US
dc.contributor.authorJamwal, Puniten_US
dc.contributor.authorSingh, Manpreeten_US
dc.contributor.authorKaur, Ravneeten_US
dc.contributor.authorTandon, Suniten_US
dc.contributor.authorNeki, N. S.en_US
dc.date.accessioned2020-01-02T06:07:40Z
dc.date.available2020-01-02T06:07:40Z
dc.date.issued2019-03
dc.description.abstractBlunt injury to abdomen is one of the most common injury caused by road traffic accidents. The advent of newer imaging techniques with high resolution computed tomography scanners (CT scan) has enabled the clinicians to exactly diagnose the extent of the intra abdominal injuries. High grade injuries are commonly managed by surgery but the shift to selective non operative management (NOM) of blunt injuries to abdominal solid organs are one of the most notable trends in the case of trauma. Methods: This study was conducted on 50 patients of blunt abdominal trauma admitted in Guru Nanak Dev Hospital, attached to Govt. Medical College, Amritsar. Patients of all age groups with blunt trauma abdomen were admitted in hospital. Results: In the present study, most common age group affected was 21-40 years (70%); out of which males were more commonly affected (90%); most common mode of injury was road traffic accident accounting for 76% of patients of all age groups. In this study, 2 out of 13 patients expired who were kept on NOM due to liver injuries. Failure to resuscitate these patients was the main cause of mortality. 4 out of 12 operative cases expired. Most common organ injured was liver (50%) followed by spleen (36%). Other organs injured were pancreas and kidney, 6% each. Mortality rate in patients who were receiving NOM was 5.26% while patients who received operative management had mortality rate of 33.3%. Conclusion: Morbidity and mortality can be prevented by timely initial resuscitation and correct diagnosis as well as management (non operative or operative) which depends on patient’s hemodynamic stability and findings of imaging studies.en_US
dc.identifier.affiliationsAssociate Professor, Department of Surgery, Govt. Medical College, Amritsar.en_US
dc.identifier.affiliationsJunior Resident, Department of Surgery, Govt. Medical College, Amritsar.en_US
dc.identifier.affiliationsProfessor, Department of Surgery, Govt. Medical College, Amritsar.en_US
dc.identifier.affiliationsSenior Resident, Department of Surgery, Govt. Medical College, Amritsar.en_US
dc.identifier.affiliationsProfessor of Medicine, Govt. Medical College, Amritsar.en_US
dc.identifier.citationSingh Baldev, Anant Sarabjot Singh, Kapoor Sudershan, Jamwal Punit, Singh Manpreet, Kaur Ravneet, Tandon Sunit, Neki N. S.. Prospective Study of Management of Solid Organ Injury in Blunt Trauma Abdomen. Annals of International medical and Dental Research. 2019 Mar; 5(2): 21-25en_US
dc.identifier.issn2395-2822
dc.identifier.issn2395-2814
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/188813
dc.languageenen_US
dc.publisherSociety for Health Care & Research Developmenten_US
dc.relation.issuenumber2en_US
dc.relation.volume5en_US
dc.source.urihttps://doi.org/10.21276/aimdr.2019.5.2.SG7en_US
dc.subjectBlunt Abdominal traumaen_US
dc.subjectnon operative managementen_US
dc.subjectroad traffic accidentsen_US
dc.titleProspective Study of Management of Solid Organ Injury in Blunt Trauma Abdomenen_US
dc.typeJournal Articleen_US
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