Riaz Ahmad, Yaseen Rafi, Rana Sohail, Maham Javed, Mushal Noor, Khalid Javaid Abid.
A Pattern of Abdominal Organs Injuries in Blunt Trauma and Their Outcome.
Pak J Med Health Sci Jan ;7(3):815-9.

Aim: To found out pattern of abdominal organ injuries in blunt trauma and their outcome. Study design: Prospective study Duration and place of study: Accident and Emergency department of Mayo Hospital, Lahore from June 2011-Dec 2012 Methods: The study was conducted on 70 patients with blunt trauma to abdomen. Primary survey of the patients constituted A,B,C,D and Es approach of trauma care and identification of life threatening conditions and their immediate management. In secondary survey, a detailed history of trauma patient, a thorough physical examination and related investigations were carried out to identify abdominal injuries and associated injuries from head to toe. The postoperative care of the patient was provided up to maximum to reduce morbidity. The postoperative complications developed in postoperative period were managed properly. Patients were discharged when they were stable. Colostomy patients were explained about colostomy care and later on, reversal of colostomy. All patients were followed up to 2 week, 4 week, 8 week intervals for at least first 2 months after discharge. Results: Out of seventy, 60 (86%) were males and 10 (14%) females with mean age of 26 years. The age ranged from 12 to 60 years. The most frequent age group was 21-30 in both male and female. 66 patients were explored for blunt trauma to abdomen. All were found to be positive. Mean number of organs injured in each patient was 3.2. Small bowel was the most commonly injured organ in 18 patients, having 30 (55.6%) injuries in this study. After this, splenic injuries were the commonest solid organ injury, i.e., 30% in 16 patients. Pancreas and colon were less commonly injured solid and hollow organ respectively Conclusion: Blunt abdominal trauma could be reduced by preventing the use of old motor vehicles, strict compliance of traffic rules and urgent repair of damaged roads.

PakMediNet -Pakistan's largest Database of Pakistani Medical Journals - http://www.pakmedinet.com