Conservative management and outcome of blunt trauma abdomen

Abstract

Background: The rapid phase of industrialization coupled with an increase in number of automobiles and vehicular accidents is giving us an increased incidence of blunt trauma abdomen (BTA). This study assesses the feasibility of conservative management in blunt trauma abdomen patients at tertiary care centre. The study was undertaken to know the cause of injury, management and outcome of BTA.Methods: A series of 90 patients admitted with BTA over period of one year (January 2015 - December 2015) in JMCH Jhalawar, Rajasthan, India were enrolled in study. Most common age group affected was 15 - 30 year and male to female ratio was 2.6:1.Results: Most common mode of injury was motor vehicle accident (65.5%). Most common organ injured was liver (44.5%) followed by spleen (25.5%). Conservative management was done in 80 (89.5%) patients and was successful in 67 (74.5%) patients and 13 (14.4%) patient later required surgery.Conclusions: Operative treatment was done in 10 (11.1%) patients because of hemodynamic instability. Mortality was 7.7%. In our study conservative management of BTA was found highly successful.