The Evaluation and Management of Abdominal Trauma

Background The purpose of study is to evaluate the patients with abdominal trauma and give effective management at right time. Abdominal trauma continues to account for a large number of trauma related injuries and deaths. Methods The study was carried out in patients of Krishna hospital and Medical research centre, Karad in period of January 1992 to December 1993. We evaluated 100 patients.68 out of 100 patients were having blunt injury and 32 out of 100 patients were having penetrating abdominal injury. Results Approximately 10 % of civilian injuries that require operation are result of blunt abdominal trauma.49 patient out of 68 blunt trauma were treated conservatively and 19 out of 68 blunt trauma patients needed surgical intervention.28 out of 32 penetrating injury were treated surgically while 4 were treated conservatively. ( out of 4, one died due to shock before any surgical intervention). ConclusionBlunt abdominal trauma is more common than penetrating abdominal trauma. The diagnosis is much more difficult in blunt trauma, but we can obtain some clue from Radiodiagnosis like USG. Overall mortality rate is 12 %. Detailed History, Clinical Examination, Proper Diagnosis.