Management and Outcome of 50 Traumatic Gut Injury Cases

Abstract

Introduction: Traumatic gastrointestinal tract perforation is one of the commonest abdominal emergencies. The number of admitted trauma patients just focuses the tip of the iceberg because a lion's share of these ill-fated people with abdominal trauma pass their last breathe on the way to the hospital. So what should we do to counter this epidemic and what necessary steps should be taken to reduce the mortality and improve the morbidity was our aim of the study. Although this small study cannot draw a valid conclusion in comparison to the large series of western situations. This study was designed to present the experience of 50 patients with traumatic gastrointestinal tract perforation who were admitted to the surgery department, at Dhaka Medical College Hospital from July 2007 to December 2007. Cases were selected randomly. Standard protocol was followed for analysis and studying of the factor modifying morbidity and mortality. Aim of the study: The aim of the study was to observe the management and outcome of 50 gut injury cases in a tertiary-level hospital in Dhaka, Bangladesh. Methods: This cross-sectional observational study was conducted at the Department of Surgery, Dhaka Medical College Hospital, Dhaka, Bangladesh. The study duration was 1 year, from January 2007 to December 2007. A total of 50 cases were selected for the purpose of this study from those admitted to the study hospital due to traumatic gut injury. Result: The majority of the patients was male and was of the young group. Penetrating groups (60%) predominate over the blunt group (40%). Penetrating injuries were mainly caused by stab and gunshot injuries on the other hand road traffic accidents were mainly responsible for blunt trauma. 58% of patients were in shock on admission and 48% had associated extra-abdominal injury. 52% of patients were resuscitated successfully by means of blood and I/V fluid and most of them were resuscitated within 1-4 hours. The diagnosis was mainly based on .......