G. Kishore Babu1, Y. Mahesh Babu2, B. Sobha Rani3, K. Lokesh4, K. V. Madhusudhan5
BACKGROUND
Abdominal trauma continues to account for a large number of trauma
related injuries and deaths. Motor vehicle accidents and
urban violence, respectively, are the leading causes of blunt and penetrating trauma to this area of the body. Unnecessary
deaths an d complications can be minimized by improved resuscitation, evaluation and treatment. The new techniques and
diagnostic tools available are important in the management of abdominal trauma. These improved methods, however, still
depend on experience and cli nical judgment for application and determination of the best care for the injured patient. The aim
of the study is to 1. Analyse the incidence, clinical characteristics, diagnosis, indications for laparotomy, therapeutic methods
and morbidity & mortality r ates. 2. To study nature of blunt abdominal trauma. 3. To assess patient for surgical intervention
and to avoid negative laparotomy. 4. To assess morbidity rate in different organs injury. 5. To evaluate modalities of treatment,
complications and prognosis .
MATERIALS AND METHODS
This study is a prospective study on 97 patients with Blunt injuries to the abdomen admitted in S.V.R.R.G.G.
Hospital, Tirupati
during October 2013 15.
Inclusion Criteria
Patients >
13 years, with Blunt injury to abdomen either by RTA, fall, object contact, assault giving written informed consent.
Exclusion Criteria
Patients <13 yrs
Blunt injuries due to blasts, patients with severe cardiothoracic and head injuries who are hemodyn amically
unstable.
CONCLUSION
Blunt Trauma to abdomen is on rise due to excessive use of motor vehicles. It poses a therapeutic and diagnostic dilemma
for
the attending surgeon due to wide range of clinical manifestations ranging from no early physical f indings to progression to
shock. So, the Trauma surgeon should rely on his physical findings in association with use of modalities like x ray abdomen,
USG abdomen and abdominal paracentesis. Hollow viscus perforations are relatively easy to pick on x ray. But solid organ
injuries are sometimes difficult to diagnose due to restricted use of modern amenities like CT scan in India. From our study,
we conclude that in hemodynamically stable patients with solid organ injury conservative management can be tried a nd non
operative management is associated with less complication and morbidity
