Title: A Clinical Study of Surgical Management of Various types of Intra Abdominal Injuries due to Blunt Trauma Abdomen and their Outcome

Authors: Dr K. Udaya Sagar, Dr P. Gyandeep, Dr S.V.S. Kishore

 DOI: https://dx.doi.org/10.18535/jmscr/v11i3.22

Abstract

Blunt trauma is physical trauma to a body part with an object that doesn’t pierce the skin and enter body tissues. Blunt trauma often occurs in road traffic collisions, assaults, falls, domestic violence, and sports injuries. Blunt trauma can result in abrasions, contusions, lacerations, internal haemorrhages, bone fractures, as well as death. The abdomen is most commonly involved, and blunt abdominal trauma constitutes 75% of all blunt trauma. Because of the vital nature of the organs housed in the abdomen, early evaluation and management are a priority in blunt trauma abdomen. Blunt trauma to the abdomen poses a great challenge to the surgeon as he has to decide his priorities in dealing with associated injuries to other areas of the body. The ATLS guidelines provide a systematic approach to the management of trauma patients, emphasising the concept of the “golden hour” and that timely, prioritised interventions are necessary to prevent death and mortality.

Keywords: Blunt Trauma Abdomen, Spleenic Laceration, Liver Laceration, Spleenectomy, E Fast, Diagnostic Peritoneal Lavage.

References

  1. Minino AM, Heron MP, Murphy SL, et al. Deaths: final data for 2004. Natl Vital Stat Rep. 2007 Aug 21;55(19):1-120.
  2. Simon LV, Lopez RA, King KC. Blunt Force Trauma. [Updated 2021 Aug 11]. In: Stat Pearls [Internet]. Treasure Island (FL): Stat Pearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470338/
  3. Isenhour JL, Marx J (August 2007). "Advances in abdominal trauma". Emergency Medicine Clinics of North America. 2007;25(3):713.
  4. American College of Surgeons. Committee on Trauma. (2018). Advanced trauma life support: Student course manual. 10th ed. Chicago, IL: American College of Surgeons; 2018. 84 p.
  5. Bailey, H., Love, R. J. M. N., William, N. S., O’Connell, P. R., McCaskie, A. W., Bailey & Love's Short Practice of Surgery. 27th ed. Publisher: Boca Raton, FL: CRC Press; 2018. 372 p.
  6. American College of Surgeons. Committee on Trauma. (2018). Advanced trauma life support: Student course manual. 10th ed. Chicago, IL: American College of Surgeons; 2018. 17 p.
  7. Brunicardi, F. C., & Schwartz, S. I. (2019). Schwartz's principles of surgery. 11th ed. New York: McGraw-Hill, Health Pub. Division; 2019. 183 p.
  8. Beuran M, Negoi I, Paun S, Runcanu A, Gaspar B. Istoria îngrijirii pacientului traumatizat [History of trauma care]. Chirurgia (Bucur). 2011 Sep-Oct;106 (5):573-80. Romanian. PMID: 22165054.
  9. Adams R, Conn A: eds: Trauma care: surgical management. 1st ed. Philadelphia. J. B. Lippincott; 1987. 156-80 p.
  10. Moylan JA: Ed: Trauma Surgery. Philadelphia: JB Lippincott, 1988; 146 p.
  11. Gillespie IE. Intestinal anastomosis. Br Med J (Clin Res Ed) 1983;286:1002. (3): 402-7.
  12. Abdominal trauma at the Southern Surgical Association, 1888-1987. Annals of Surgery 1988. Jun;207(6): 742-53.
  13. Gupta, Roshan Lall, Ed., Recent Advances in surgery (no. 6), New Delhi, Jaypee Brothers;1998, 140-148 p.
  14. See Maingot’s for perihepatic packing.
  15. Vanessa M Banz, Muhammad U Butt, Heinz Zimmermann, Victor Jeger and Aristomenis K Exadaktylos Free abdominal fluid without obvious solid organ injury upon CT imaging Journal of Trauma Management & Outcomes 2009,:10doi:10.1186/ 1752-2897-3.
  16. Bailey, H., Love, R. J. M. N., William, N. S., O’Connell, P. R., McCaskie, A. W., Bailey & Love's Short Practice of Surgery. 27th ed. Publisher: Boca Raton, FL: CRC Press; 2018. 273-274 p.
  17. Bailey, H., Love, R. J. M. N., William, N. S., O’Connell, P. R., McCaskie, A. W., Bailey & Love's Short Practice of Surgery. 27th ed. Publisher: Boca Raton, FL: CRC Press; 2018. 256 p.
  18. Bailey, H., Love, R. J. M. N., William, N. S., O’Connell, P. R., McCaskie, A. W., Bailey & Love's Short Practice of Surgery. 27th ed. Publisher: Boca Raton, FL: CRC Press; 2018. 300-306 p.
  19. Bailey, H., Love, R. J. M. N., William, N. S., O’Connell, P. R., McCaskie, A. W., Bailey & Love's Short Practice of Surgery. 27th ed. Publisher: Boca Raton, FL: CRC Press; 2018. 307-342 p.
  20. American College of Surgeons. Committee on Trauma. (2018). Advanced trauma life support: Student course manual. 10th ed. Chicago, IL: American College of Surgeons; 2018. 85 p.
  21. Townsend, C. M., Beauchamp, R. D., Evers, B. M., & Mattox, K. L. (2022). Sabiston textbook of surgery: The biological basis of modern surgical practice. 21st ed. Philadelphia, PA: Elsevier Saunders; 2022. 412 p.
  22. Mukhopadhyay M (October 2009). "Intestinal Injury from Blunt Abdominal Trauma: A Study of 47 Cases". Oman Med J. 24 (4): 256–259.
  23. American College of Surgeons. Committee on Trauma. (2018). Advanced trauma life support: Student course manual. 10th ed. Chicago, IL: American College of Surgeons; 2018. 4-20 p.

Corresponding Author

Dr K. Udaya Sagar

Post Graduate, Guntur Medical College, Guntur