Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Abdominal penetration injuries pose considerable difficulties for trauma care. Injuries to the abdomen may have deadly consequences. The fact that abdominal trauma affects individuals of all ages and socioeconomic backgrounds and is linked to high rates of morbidity and mortality raises serious concerns about public health. Penetrating abdominal trauma is a major reason for surgical emergency. It is essential to comprehend the etiology, degree of organ involvement, best management practices, and related outcomes in order to enhance patient care and lower adverse event rates. To study the aetiology, the extent of organ involvement in the penetrating injury and organs commonly involved and to evaluate the morbidity rate, modalities of treatment, complication and prognosis. This prospective observational study included 40 patients with penetrating abdominal injuries admitted in a tertiary care hospital of South India over a two‐year period. Study participants comprised adults over the age of 18 who had abdominal penetrations. Information on demographics, injury types, results of clinical exams, diagnostic tests, surgical procedures, and complications following surgery were all documented and analyzed. The study population included a wide range of demographic traits, with middle‐aged men making up the majority. The age distribution was 41.65±5.56 years. Homicide was the most frequent way of penetration that resulted in abdominal injuries, accounting for 21 (52.5%) of the patients. In the majority of the patients, 31 (77.5%), the latent interval between the onset of injury and presentation was between 1 and 5 hours. For 16(40%) of the patients, the lumbar area was the most often injured area. The majority, 10 (37%) had a laparotomy because of peritoneal penetration, 9 (33%) because of peritonitis and 8 (30%) because of evisceration. Of the patients, 14 (35%) had abnormal plain X‐ray findings. In 24 cases (60%) laparotomies were done as a therapeutic measure. Depending on the type and extent of the injuries, different surgical techniques were used, among the therapies were visceral tear repair and splenectomy. Penetrating abdominal injuries need to be identified quickly, thoroughly evaluated and managed appropriately to maximize patient outcomes, Even though these injuries present difficulties, the prognosis can be improved and complications can be reduced with prompt surgical intervention and thorough postoperative care. More investigation is required to improve therapeutic and diagnostic strategies for the better handling of abdominal trauma.
How to cite this article:
Gowbath Marliya and Pallamala Lasya. Evaluation of Penetrating Abdominal Injuries‐A Prospective Study in A Tertiary Care Centre.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.7.394.399
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.7.394.399