Author(s): Niranjan Sahoo1, Ravi Teja P2, Abinash Kumar Panda3, Sanjeeb Kumar Pradhan4, Nrushing Charan Dash5, Pranab Kumar Prusty6
Trauma is “the neglected disease of modern developing nations.” Hollow viscous injury following blunt trauma to abdomen is not common. The incidence of hollow viscous injuries following abdominal trauma varies from 2 to 15%. The following study was conducted at Department of General Surgery, MKCG Medical College and Hospital, Berhampur, a tertiary care hospital.
MATERIALS AND METHODS
All the patients admitted to MKCG Medical College and Hospital, Berhampur, with history of blunt trauma to abdomen were examined carefully. Those patients with symptoms and signs suggestive of visceral injury were identified and subjected to x-ray chest and abdomen erect view and ultrasound abdomen/CT scan. Those with features of pneumoperitoneum are subjected to laparotomy and treated according to location of perforation. Duration of study was from January 2016 to July 2017.
This study included people of different age groups from 13 to 65 years. Majority of the patients were men (83.5%) and most common mode was found to be road traffic accident (69.6%). Most of the patients injured were young and belonged to earning group (81.44%). Most common viscera injured was ileum (37.85%) Most common type of injury encountered in our study was isolated perforation and the common surgical procedure was primary closure.
In cases of polytrauma, blunt abdominal trauma contributes significantly to morbidity and mortality. Both the sexes were affected with a male preponderance. The most common mode of blunt trauma was found to be Road Traffic Accident (RTA). Adequate knowledge regarding suspecting intra-abdominal injuries and timely management at tertiary care centre can definitely bring a marked difference in the prognosis of polytrauma patients with history of blunt trauma to abdomen.