Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
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Abstract
Road traffic accidents (RTAs), falls from a height, bull injuries and assaults are the main causes of blunt abdominal trauma. To minimize consequences, early diagnosis and treatment of these patients are crucial. Along with a thorough clinical examination, radiological examinations are crucial to the evaluation of patients. In order to lower morbidity and mortality in these patients by better radiological evaluation, non‐operative management, or N.O.M., is currently becoming more and more popular than surgical management. Hence, this study aimed to evaluate the advantages and safe outcomes after N.O.M and to assess conversion rates into operative management. This is a Prospective observational study in patients admitted in KIMS, Hubballi, with blunt abdominal trauma with solid organ injury subjected to N.O.M. after necessary assessment clinically, blood investigations and radiological investigations including FAST and CT abdomen and pelvis. Out of 63 N.O.M‐treated subjects, 92% affected were males, primarily aged 21‐30 (38%). RTA (61.9%) and falls from a height (30.2%) were the most common injuries. There were 3.17% failures and a 96.82% N.O.M. success rate. Low hemoglobin, tachycardia, and hypotension had no effect on outcome. Based on comprehensive clinical, laboratory and radiographic examinations, the initial chosen therapy for blunt trauma abdomen is non‐operative care. The availability of ICU treatment and the existence of emergency operating rooms are taken into account.
How to cite this article:
Vinayak R. Byateppanavar, Vasant Kumar Teggimani, M.S. Suhas and Akshatha K. Gowda. A Study of the Outcome of Non‐Operative Management of Blunt Abdominal Trauma with Solid Organ Injury.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.189.193
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.189.193