Noninvasive Evaluation of Blunt Abdominal Trauma: Prospective Study Using Diagnostic Algorithms to Minimize Nontherapeutic Laparotomy

1999 ◽  
Vol 23 (3) ◽  
pp. 265-270 ◽  
Author(s):  
Hsin-Chin Shih ◽  
Yi-Su Wen ◽  
Tun-Jen Ko ◽  
Jar-Kan Wu ◽  
Cheng-Hsi Su ◽  
...  
Keyword(s):  
Prospective Study ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Noninvasive Evaluation ◽  
Diagnostic Algorithms ◽  
Nontherapeutic Laparotomy

scholarly journals Prospective study of management and outcome of blunt abdominal trauma (solid organs and hollow viscus injuries)

2017 ◽  
Vol 4 (10) ◽  
pp. 3262 ◽  
Author(s):  
Sandesh Kumar Srivastava ◽  
Anand Kumar Jaiswal ◽  
Dinesh Kumar
Keyword(s):  
Prospective Study ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Road Traffic ◽  
Age Groups ◽  
Initial Assessment ◽  
Age Group ◽  
Abdominal Injuries ◽  
Hollow Viscus ◽  
External Compression

Background: Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. Many injuries may not manifest during the initial assessment and treatment period. Injury to intra-abdominal structures can be classified into 2 primary mechanism of injury-compression forces and deceleration forces. Compression or concussive force may result from direct blows or external compression against a fixed object. Deceleration forces causes stretching and linear shearing between relatively fixed and free objects.Methods: A prospective study of 48 patients admitted with blunt abdominal injuries in the department of surgery, B.R.D. Medical College Gorakhpur during a period of 1 year.Results: Majority of patients of blunt abdominal injuries in present study were in 11-20 year of age group followed by 31-40 year of age group followed by 41-50 year of age group. Female to male ratio was 7:1. In the present study 41% of patients were subjected to non-operative management.Conclusions: Males were pre-dominantly affected. Road traffic accident was the most common cause of injury. Though conservative management is successful in carefully selected patients, operative management remains the main stay of treatment.

A Prospective Study of 91 Patients Undergoing Both Computed Tomography and Peritoneal Lavage Following Blunt Abdominal Trauma

1986 ◽  
Vol 26 (7) ◽  
pp. 602-608 ◽  
Author(s):  
TIMOTHY C. FABIAN ◽  
EUGENE C. MANGIANTE ◽  
THOMAS J. WHITE ◽  
C. RICHARD PATTERSON ◽  
SANDRA BOLDREGHINI ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Prospective Study ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Peritoneal Lavage ◽  
A Prospective Study

scholarly journals Challenges in management of blunt abdominal trauma: a prospective study

2018 ◽  
Vol 5 (10) ◽  
pp. 3298
Author(s):  
Rajkumar P. N. ◽  
Kushal Kumar T. R. ◽  
Deepak G.
Keyword(s):  
Prospective Study ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Motor Vehicle ◽  
Motor Vehicle Accident ◽  
Imaging Modality ◽  
Tertiary Care ◽  
Organ Injury ◽  
Solid Organ ◽  
Vehicle Accident

Background: Trauma meets the pandemic criteria, with a daily worldwide mortality as high as 16000. Abdominal trauma remains a leading cause of mortality in all age groups. Blunt abdominal trauma (BAT) mainly results from motor vehicle accident, fall from height and assaults. The commonest organ injured is the spleen, followed by the liver and small bowel. Lately, the management of BAT has changed from operative to non-operative management. This study was done to analyse the incidence, patterns, current management practiced, and challenges encountered in BAT treated operatively.Methods: This Prospective study was conducted in tertiary care centre in Bangalore during August 2015 to December 2017. 475 patients with blunt abdominal injuries who reported to emergency department were selected for the study based on following inclusion and exclusion criteria.Results: A total of 475 cases of BAT were assessed with a mean age of males and females was 32.6 and 28.3year respectively. Most patients (65%) were between 21 to 30 years of life. Most common mode of injury was motor vehicle accident (57.68%), 60% patients presented to hospital within the initial 4 hours. Abdominal CT had highest accuracy. Most common solid organ injury being spleen (26.5%). 80.84% patients were selected for SNOM and 15.62% had Failed SNOM. 28.48% patients had complications with most common complication wound infection followed by aspiration pneumonia and 7 patients had mortality.Conclusions: Initial resuscitation with thorough clinical examination with correct usage of imaging modalities with timely and proper decision making is the key of management of patients with BAT and there is a need to identify newer imaging modality/procedure which helps to determine better management scheme in all blunt trauma patients. 

Sonographic assessment of blunt abdominal trauma: A 4-year prospective study

2002 ◽  
Vol 30 (2) ◽  
pp. 59-67 ◽  
Author(s):  
John R. Richards ◽  
Nicole H. Schleper ◽  
Brian D. Woo ◽  
Paul A. Bohnen ◽  
John P. McGahan
Keyword(s):  
Prospective Study ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Sonographic Assessment

Prospective Study of Computed Tomography in Initial Management of Blunt Abdominal Trauma

1986 ◽  
Vol 26 (7) ◽  
pp. 585-592 ◽  
Author(s):  
ANDREW B. PEITZMAN ◽  
MICHEL S. MAKAROUN ◽  
B. SIMON SLASKY ◽  
PAMELA RITTER
Keyword(s):  
Computed Tomography ◽  
Prospective Study ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Initial Management
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