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Category: Volume 06 Issue 12 December 2018
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Title: Observations on Blunt Injury to Abdominal Solid Organs with a view to Contribute towards Development of a Departmental Protocol of Management

Authors: Dr Sumit Shukla (MS General Surgery), Dr Atul Kumar Patel (MS General Surgery)*, Dr Shashishankar Sharma (MCH Paediatric Surgery)

 DOI: https://dx.doi.org/10.18535/jmscr/v6i12.175

Abstract

Introduction

One of the most baffling problems of surgery can be a patient suspected of having blunt injury of abdomenial solid organs that requires surgical intervention as a life saving measure. Currently there are a few published data on pattern of solid organ injury of abdomen by blunt trauma, abdominal solid organ are liver, spleen, kidney, pancreas.

There is a good case to believe that in emergency situations the radiologists(15) performance may profit from a systematic approach using established scoring systems. Score systems as the organ injury scale drawn up by the American Association for the Surgery of Trauma (AAST) are a valuable guidance for objective trauma assessment. When isolated organ injuries were examined, there were statistically significant increases (p < or = 0.05) in all outcomes variables corresponding with increasing OIS grade.(16)

In Indian set up very poor people come to hospital. Every patient is not affordable for CT scan and CT scan not available at peripheral centers for blunt trauma abdomen. So in our study we have compared USG and CT abdomen finding in abdominal trauma patients. So as to decide whether USG alone (clinically stable patients) is equivalent to CT abdomen in low resource setting.

Material & Methods

All solid organ injury of abdomen of above 14 yr age group by blunt trauma admitted in routine & emergency hours in general surgery in M.Y. Hospital, Indore, in duration January 2016- July 2017 were included. The diagnostic methods used in the study are USG abdomen, CECT abdomen, X-RAY ABDOMEN ERECT, X ray chest etc.

Results

The present study included 100 cases of blunt abdominal trauma admitted to Emergency surgery & Trauma unit, Department of Surgery, M.Y. Hospital Indore from 1/1/2016 to 1/1/2017.

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Corresponding Author

Dr Atul Kumar Patel (MS General Surgery)