Vol. 3, Issue 4 (2018)
A prospective study of patients with Blunt Abdominal Trauma: A study from the northern part of India
Author(s): Dr. Sandesh Kumar Shrivastava, Dr. UC Singh
Abstract: Background: Blunt abdominal trauma (BAT) has become a major health problem all around the world mainly in low and middle-income countries. Aims and Objective: To study the incidence, reasons and outcome of BAT in order to diagnose it properly and to start early intervention to decrease associated morbidity and mortality. Materials and Methods: It was a prospective study including patients who presented with history of blunt trauma to abdomen in the Department of Surgery, BRD Medical College Gorakhpur from January 2012 to August 2014. Detailed history, mode of trauma, treatment given, extra abdominal injuries, clinical presentation, internal organ injuries, hospital stay, associated complications and morbidity parameters were studied in all the patients. Results: A total of 134 patients were admitted during the study period. Incidence of BAT was 54/ 6204, 50/6794 and 30/5572 in 2012, 2013 and 2014 respectively with male predominance involving mostly patients with age group between 20-30 years. Road traffic accidents were the most common cause of BAT. Most of the patients in 2012 were treated conservatively but in 2013 and 2014 surgical intervention were most common. Injuries of Head and chest were the common extra abdominal injuries, in abdomen small intestine was damaged in majority of patients. Most of the patients stayed for 7 to 12 days in the hospital and though 24 (17.91%) patients died due to severity of the trauma, 104 (77.61%) recovered without any complications. Conclusion: The BAT is preventable as the road accidents are the major cause. Sound judgment with effective treatment and surgical expertise can improve the survival of patients with BAT.