Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
The abdominal cavity has been considered one of the most vulnerable regions of the body and injuries involving it have been considered very serious. Out of all trauma, blunt or penetrating abdominal trauma is the most intriguing. Considering all these facts and the ever‐increasing incidence of solid organ injuries in abdominal trauma, the present study aims to know the incidence of age, sex, distribution, mode of injury, incidence of substantial organ injuries, associated injuries and frequency of commonly injured organs. This was an institution‐based observational and prospective study and randomised study. All the patients with traumatic abdominal solid organ injuries were admitted in the mentioned period in all surgical units of a tertiary care hospital. The sample size for this study was 43. The frequency of various complications and the mortality rates associated with these forms of injuries were also observed. The ages of the patients varied from 17 years to 61 years of age and the maximum number of cases (23 patients) belonged to the age group of 20‐29 years with an incidence of 53.5% per cent. A striking male preponderance of 72 per cent was observed and male to female ratio was 2.6:1. Out of the total of 43 cases, 31 cases sustained blunt trauma to the abdomen while 12 cases were of penetrating trauma. Road traffic accidents were the commonest mode of blunt trauma while stabbing was more common in causing penetrating injuries to the solid organs. Conservative non‐operative management was done in a hemodynamically stable patient. Definitive operative management was done for severe degrees of injuries in hemodynamically unstable patients. The commonest postoperative complications were wound infection and pneumonia. The overall mortality rate in the presence series was 13.9%. Conclusions Of the solid organ involvement spleen, liver, and kidneys were the commonest organs involved following either blunt or penetrating trauma. Associated injuries to other organs were not rare. In conclusion, it can be said that morbidity and mortality associated with abdominal organ injuries are quite responsive to treatment if early management can be initiated.
How to cite this article:
Samir Ranjan, Himansu Roy, Partha Mondal and Dhiman Kumar Nayak. A Clinical Study of Solid Visceral Injuries in Abdominal Trauma with References to Factors Determining Outcome.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.3.270.274
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.3.270.274