Volume 21 No 6 (2023)
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A Clinical Study of Blunt Abdominal Trauma and Its Various Interventions
Dr. Aditya Raghav G., Dr. Karri Venkata Rao, Dr. V.S.R.K.N. Sree Dutta
Abstract
Background: This study was conducted to evaluate the clinical characteristics and treatment of blunt abdominal trauma. Methods: This was a hospital-based study conducted among 50 patients with blunt abdominal trauma at the Department of General Surgery, KIMS, Amalapuram, from December 2020 to September 2022 after obtaining clearance from the institutional ethics committee and written informed consent from the study participants. Results: 76% of patients were males, whereas 24% were females. The majority of patients (48%) had a blunt injury as a result of RTA, while 32% of patients had an injury as a result of a fall from a height and 20% of patients had an assault-related blunt injury. 64% of patients underwent 4 quadrant aspiration; among these cases 53.1% were positive. 26% of patients underwent diagnostic peritoneal aspiration, of which 69.2% were positive. All of them underwent routine urine examinations and 12% of patients showed bloody urine. All of them underwent ultrasonography of the abdomen, where 92% were positive for intra-abdominal injury. 46% of patients underwent CECT abdomen, and 95.6% were positive for abdominal organ damage. Conclusion: An effective way to find a hollow viscus injury is an erect abdomen x-ray. DPL and FQA investigations are less popular as high-resolution ultrasonography (FAST) becomes more widely available. Conservative management is an option for lower-grade (1, 2) solid organ injuries, such as those to the liver, spleen, and kidney. When treating patients with blunt damage to the abdomen, CECT serves as the primary investigation of choice and is helpful in deciding between surgical and nonsurgical treatment. The key to managing BIA damage is early identification, frequent clinical examinations, and the use of relevant studies. The morbidity and mortality of patients are affected by further abdominal injuries that occur along with them, such as head, thoracic, and orthopedic injuries.
Keywords
Blunt Abdominal Trauma, Various Interventions
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