A CLINICAL STUDY ON SPECTRUM OF INJURIES DUE TO BLUNT TRAUMA ABDOMEN REQUIRING LAPAROTOMY AND IT‘S OUTCOME ATTENDING A TERTIARY CARE HOSPITAL OF WEST BENGAL

Dr. Niladri Sarkar; Dr. Priyatosh Dey

Volume : VIII, Issue : VIII, August - 2019

A CLINICAL STUDY ON SPECTRUM OF INJURIES DUE TO BLUNT TRAUMA ABDOMEN REQUIRING LAPAROTOMY AND IT‘S OUTCOME ATTENDING A TERTIARY CARE HOSPITAL OF WEST BENGAL

Dr. Niladri Sarkar, Dr. Priyatosh Dey

Abstract :

Background: Trauma is the curse of modernization. Road traffic accidents are increasing day by day. Abdomen is commonly involved in blunt trauma but often missed clinically. Therefore, we choose to study the effect of blunt trauma and its outcome in an institute with limited resources. Methods: A prospective cross-sectional observational study was done. Data were collected in a suitable proforma mentioning patients demographics. Intra-operative findings and post-operative events were documented. Outcome of patients were noted. Results: Total 50 patients were included in the study. Males were affected in 92% cases. Sixty percent of the patients were operated within 10 hours of injury. Associated extra abdominal injuries had been found in 28 cases that was 56%. The most common were head injuries (20%), followed by thoracic injuries (14%). Liver was involved in 16 (32%) patients followed by small bowel (22%), spleen (16%), mesentery (14%), large gut and combined injury (both 6%), duodenum (4%). Eleven patients died due to various post-operative complications. Discussion: Road traffic accident was the most common mode of injury. Hence measures should be taken to prevent it. Morbidity and mortality remained high at large. The reason for this could be due to the long time interval between trauma and hospitalization, delay in diagnosis, post-operative complications and associated trauma especially to head, thorax and extremities.