Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Blunt abdominal trauma with solid organ injury is a frequent emergency and is associated with significant morbidity and mortality despite improved recognition, diagnosis and management. Trauma is the 2nd largest cause of disease in India accounting for 16% of the burden. Management of patients with blunt abdominal injury has evolved greatly over the last few decades from complete surgical management to present nonoperative management in most cases. To prospectively evaluate conservative management of solid organ injury in blunt abdominal trauma. To study the age and sex distribution of solid organ injury in blunt abdominal trauma. To study the common presenting complaints in patients presenting with solid organ injury in blunt abdominal trauma. To study the mode of injury in patients with solid organ injury in blunt abdominal trauma. To study the AAST grade in solid organ injury in blunt abdominal trauma based on Contrast‐enhanced computed tomography findings. To observe the outcome of conservative management of solid organ injury in blunt abdominal trauma. This study endeavours to evaluate 72 cases of blunt abdominal injury with stress on early diagnosis and judicious use of nonoperative management. Prospective analysis of 72 patients with blunt abdominal trauma with solid organ injury admitted to Sir T Hospital, Bhavnagar within a span of 18 months was done. Demographic data, the mechanism of trauma, associated injuries, the success of conservative management and outcomes were studied. Patients with age >=18. Radiologically evident blunt abdominal trauma with solid organ injury to patient by any means. Pregnant women Radiologically evident hollow organ injury in blunt abdominal trauma Associated other injuries requiring surgical intervention. Radiologically confirmed isolated pancreatic injury. Most of the patients belonged to male sex (81.95%) and maximum cases were observed in the age group of 18‐30 years (52.97%). Road traffic accident was the most common mode of injury which included 45 cases (62.5%). Total of 22 cases had splenic injury out of which 19 (86.36%) underwent nonoperative management and 3 (13.64%) underwent emergency splenectomy. Liver injury was present in 39 patients, all were managed conservatively. Nonoperative management was done in 68 (94.45%) of cases and surgical management was done in 3 (4.17%) of cases. All renal injuries were managed conservatively. Patient selection, early diagnosis, repeated clinical examination, and use of appropriate investigations form the key to nonoperative management of blunt trauma abdomen. 94.45% of splenic, liver and renal injuries can be managed conservatively. Early diagnosis and prompt treatment can save many lives and prevent unnecessary surgical interventions. Patient selection, early diagnosis, repeated clinical examination and use of appropriate investigations form the key to nonoperative management of blunt trauma abdomen. 92% of splenic, liver, pancreatic and renal injuries can be managed conservatively. Early diagnosis and prompt treatment can save many lives and prevent unnecessary surgical interventions.
How to cite this article:
Vikram B. Gohil, Adhish Vyas, Jinesh Parmar and Harshal Vikram. Review of Conservative Management of Blunt Abdominal Trauma at a Tertiary Care Centre.
DOI: https://doi.org/10.36478/10.59218/makrjms.2024.5.650.655
URL: https://www.makhillpublications.co/view-article/1815-9346/10.59218/makrjms.2024.5.650.655