Abstract
Background: The incidence of penetrating abdominal injuries is increasing in modern civilian era.
Objective: To determine the types of penetrating abdominal injuries & outcome of management.
Method: Relevant details of patients treated with penetrating abdominal injuries were recorded 7 analysed.
Result: there were 25 patients of PAI, mostly male. Male & female ratio was 21:4. The age ranged from 8 years to 60 years. The peak age of patients was third & second decade. Causes of various penetrating injuries were – Stab wounds- 15 (60%), GSW-3 (12%), Cow horn injury-2 (8%), RTA-1 (4%), Glass injury- 1 (4%), Cracker explosion- 1 (4%), Blast injury-1 (4%) & Unknown (stick)- 1 (4%). Three patients were managed conservatively. 22 patients had laparotomies. Various organ injuries observed in 25 patients were: Stomach-7 (28%), Mesentery-7 (28%), Small intestines- 6 (24%), Liver- 5 (20%), Colon-3 (12%) & Abdominal wall-2 (8%). Rare injuries were: Gall bladder-1 (4%), Spleen- 1 (4%) & Diaphragm- 1 (4%). Evisceration of intestines in 5 patients (20% )& Evisceration of Omentum in 4 patients (16%).
Conclusion: Stab wounds are main cause of PAI; mostly young males are injured. Laparotomy is safe & good method of treatment. Selective patients may be managed conservatively. Mortality rate was 4% overall & 4.54% in operative group.
Keywords: Penetrating Abdominal Injuries, Gun Shot Wound, Road Traffic Accident, Laparotomy & Anastomosis, Evisceration, Stab wounds, Non-Operative management.
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DOI: http://dx.doi.org/10.18535/jmscr/v4i7.79
