Abstract
Introduction
Blunt injury as causes of intra-abdominal injuries have been recognized since historical times. Aristotle was the first to record visceral injuries from blunt trauma. Hippocrates and Galen are said to have given apt description of the condition.[1] The development of emergency medical service is an important milestone in the history of clinical and surgical practice of trauma. Greeks required physicians to be present during the battle and Romans established the hospitals close to the battlefield.[1] Advanced imaging techniques like spiral CT scan and MRI has made early detection of blunt abdominal injuries easier.
In view of increasing number of vehicles and consequently road traffic accidents, this dissertation has been chosen to study the cases of blunt abdominal trauma with reference to the patients presenting at health care centre and purpose of present study to know role of ultrasonography and x-ray abdomen standing in diagnosis of blunt trauma abdomen and to compare conservative management with operative management.
Aims and Objectives
- To study role of ultrasonography; X-Ray abdomen Standing and CT scan in blunt trauma abdomen.
- To study conservative vs oprative management.
References
- Sabiston ' s Text book of surgery : 18th Hedition: vol 1:2004:p483531
- Hamilton bailey' s Emergency surgery': 13th edition 2000:p446-471
- Surgery of the liver and biliary trackt: LH Blumgart: vol 1:3rd edition: 2000:1277-1318p.
- Mohammadi A and Ghasemi M. Evaluation of gastrointestinal injury in blunt abdominal trauma "FAST is not reliable": the role of repeated ultrasono-graphy. World Journal of Emergency Surgery. 2012, 7(2): 7922.
- Mohammadi A, Daghighi MH, Poorisa M et al. Diagnostic Accuracy of Ultrasono-graphy in Blunt Abdominal Trauma. Iran J Radiol. 2008, 5(3):135-139.
- Lee BC, Ormsby EL, McGahan JP et al. The utility of sonography for the triage of blunt abdominal trauma patients to exploratory laparotomy. AJR Am J Roentgenol. 2007, 188(2): 415-21.
- Diagnosis and management of blunt small bowel injury: a survey of membership of the American Association for the surgery of Trauma . 2000 Mar: 48(3):402-7
- Raza M, Abbas Y, DeviV. Non operative management of abdominal trauma a 10 years review. World Journal of Emergency Surgery 2013, 8:14 doi:10.1186/1749-7922-8-14.
- Giannopoulos GA, Katsoulis IE, Tzanakis NE. Non-operative management of blunt abdominal trauma. Is it safe and feasible in a district general hospital? Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 2009, 17:22 doi:10.1186/1757-7241-17-22.
- Malhotra AK, Ivatury RR, Latifi R. Blunt abdominal trauma: evaluation and indication for laparotomy. Scandinavian Journal of Surgery. 91: 52–57, 2002.
- Eddy H carrillo, Christopher Wohtmann, J. David Richardson, Hiram C.Polk; Evolution in the treatment of complex blunt liver injuries; current problems in surgery . Mosby; vol 38No 1, january 200, p1-60
- Factors affecting the outcome lof patients with splenic trauma. am Surg. 2002 Mar:68 (3):232]-239.
- Blunt trauma to spleen: Aust NZJ Surg 2000 May:70(5):333-337
- Velmahos GC; konstantionos lG, et al. Nonoperative Treatment of Blunt Injury to Solid Abdominal Organs. Arch Surg 2003; 138:844-851.
- Schwab CW. Selection of nonoperative management candidates. World J Surg 2001;25:1389-1392.
- Stawicki SP. Trends in nonoperative management of traumatic injury: A synopsis. OPUS 12 Scientist 2007; Vol. 1, No. 1
Corresponding Author
Dr Lal Mani Singh
Associate Professor Surgery SS Medical College, Rewa MP India
DOI: https://dx.doi.org/10.18535/jmscr/v6i8.115
