Title: To Diagnose Abdominal Solid Organ Injury in poor population with limited resources and lack of Advanced Diagnostic Tools
Authors: Dr Anil Kumar Baxi, Dr Vasant Dakwale
DOI: https://dx.doi.org/10.18535/jmscr/v6i12.111
Abstract
Background: A prospective analysis of all patients aged 14 years and above with solid organ injury of abdomen secondary to blunt trauma, admitted in routine & emergency hours in General Surgery in Index Medical College Hospital & Research Centre, Indore in duration April 2016 – April 2017.The parameters analyzed were diagnostic modalities used, type of surgery (open or conservative) and outcome of surgery.
Result: 100 patients with blunt abdominal injury were studied. 11 % of patients with BAT (blunt abdominal trauma) came to hospital with features of shock(B.P. below 90mm of Hg).Maximum number of patients (75%) presented with localized tenderness localized at site of BAT. 8 % presented with head injury and with neurological signs and symptoms like unconsciousness, unequal pupils, vomiting etc. Only 8 % presented with respiratory distress as an associated complaint.
Conclusion: Improving the social morale of people particularly the younger generation by providing Good Education, Employment & Stopping Alcohol Abuse. Appropriate transportation of injured patient to hospital particularly by the local authorities, adequate recovery in the casualty room, sufficient supply of blood in blood banks in emergency. Control by skilled & experienced surgeons especially in mass casualties. Strict aseptic precaution during surgery & good post-operative care, cheaper cost beneficial CECT abdomen for unknown and very poor patient for better diagnosis.
Keywords: Abdominal, Organ Injury, Laparotomy & Diagnostic Tools.
References
- Ameh EA, Nmadu PT. Gastrointestinal injuries from blunt abdominal trauma in children. 2004 Apr;81(4):194-7.
- Jones EL, Stovall RT, Jones TS, Bensard DD, Burlew CC, Johnson JL, Jurkovich GJ, Barnett CC, Pieracci FM, Biffl WL, Moore EE Intra-abdominal injury following blunt trauma becomes clinically apparent within 9 hours. 2014 Apr;76(4):1020-3.
- Sule AZ, Kidmas AT, Awani K, Uba F, Misauno M Gastrointestinal perforation following blunt abdominal trauma. 2007 Sep;84(9):429-33.
- Mehta N, Babu S, Venugopal K An experience with blunt abdominal trauma: evaluation, management and outcome2014 Jun 18;4(2):599.
- Mehmet Selim Nural, Türker Yardan, Hakan Güven, Ahmet Baydın, İlkay Koray Bayrak, Celal Katı Diagn Interv Radiol 2005; 11:41
- Yasmeen Iqbal, Muhammad Naeem Taj, Anis Ahmed, Zia Ur Rehman, Zakia Akbar J Ayub Med Coll Abbottabad 2014;26(1)
- Aragona F1, Pepe P, Patanè D, Malfa P, D'Arrigo L, Pennisi M. Management of severe blunt renal trauma in adult patients: a 10-year retrospective review from an emergency hospital. 2012 Sep;110(5):744-8.