Management of Pediatric Blunt Trauma Abdomen in a Tertiary Care Center: A Retrospective Record Based Study

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dc.contributor.authorRamila, Ren_US
dc.contributor.authorSudarshan, N.en_US
dc.date.accessioned2025-05-14T09:45:20Z
dc.date.available2025-05-14T09:45:20Z
dc.date.issued2024-12
dc.description.abstractBackground: Trauma is one of the leading causes of death and disability worldwide. 25% of pediatric patients with major trauma usually because of abdominal injury. Less aggressive treatment and selective operative interventions have become the new standard of care. Most of the cases do not require surgical intervention and can be managed conservatively. Methods: The retrospective cross-sectional study encompassed patients under 18 years with blunt abdominal trauma, eliminating isolated organ injuries, penetrating trauma, sexual assault, and drowning incidents. Demographic data, injury classifications, management strategies, and outcomes were examined, with conservative or surgical approaches determined by clinical factors and imaging results. Results: With a median age of 9.75 years, 75% of the 144 pediatric cases of blunt abdominal trauma were male. The predominant injury mechanisms were two-wheeler road traffic accidents (57.2%) and bicycle handle injuries (13.1%). Of these, 81.25% were treated conservatively. The most damaged organs were the spleen (29.6%) and liver (42.7%). 18.75% needed surgery for hollow viscus perforations and solid organ damage. Conclusion: This study shows that conservative treatment works for stable pediatric blunt abdominal trauma patients of any grade. FAST and CT scans help triage and manage injuries, but physiological reaction, not injury grade, should drive therapy. Pediatric surgeons and interventional radiologists ensure fewer significant interventions.en_US
dc.identifier.affiliationsPost Graduate, Department of Surgery, Mandya Institute of Medical Sciences, Mandya, Karnataka, Indiaen_US
dc.identifier.affiliationsAssociate professor, Department of Surgery, Mandya Institute of Medical Sciences, Mandya, Karnataka, Indiaen_US
dc.identifier.citationRamila R, Sudarshan N.. Management of Pediatric Blunt Trauma Abdomen in a Tertiary Care Center: A Retrospective Record Based Study . SSR Institute of International Journal of Life Sciences. 2024 Dec; 10(6): 6384-6390en_US
dc.identifier.issn2581-8740
dc.identifier.issn2581-8732
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/247953
dc.languageenen_US
dc.publisherSociety for Scientific Researchen_US
dc.relation.issuenumber6en_US
dc.relation.volume10en_US
dc.source.urihttps://iijls.com/currentissue/Management_Pediatric_Blunt_Trauma_Abdomen_Retrospective_Study.pdfen_US
dc.subjectBlunt abdominal traumaen_US
dc.subjectHemoperitoneumen_US
dc.subjectAmerican Pediatric Surgery Associationen_US
dc.subjectPaediatric populationen_US
dc.titleManagement of Pediatric Blunt Trauma Abdomen in a Tertiary Care Center: A Retrospective Record Based Studyen_US
dc.typeJournal Articleen_US
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