NonOperative Management of Blunt Solid Abdominal Organ Injury in Calabar, Nigeria

Asuquo, Maurice E.; Okon, Bassey; Anietimfon, Etiuma; Ngim, Ogbu; Ugare, Gabriel; Ikpeme, Anthonia

doi:10.4236/ijcm.2010.11006

Cited by 4 publications

(4 citation statements)

References 18 publications

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“…Isolated splenic injury that got converted was 36.8 is increased to 47.8% when combined injuries were included. 10 Present study shows CECT abdomen and grading of injury has important role in non-operative management of blunt injury abdomen. Up to grade 3 injury, nonoperative management have higher success rates and higher the grade higher is the chance of conversion to operative management.…”

Section: Discussionmentioning

confidence: 73%

Management of blunt trauma abdomen in a tertiary care teaching hospital: a surgical audit

2018

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Background: Blunt abdominal trauma is a common scenario in Emergency department and the common cause being road traffic accidents. With this study we present our experience with blunt trauma of abdominal solid organ injuries over a period of 12 months.Methods: A retrospective study was conducted among 45 blunt trauma of abdominal solid organ injuries who presented to the emergency room of Department of General Surgery of Mysore Medical College and Research Institute, Mysore from 1st January 17 to 31st December 2017.All date were retrieved from medical records and statistical analysis was performed using Epi info version 7.Results: Mean age of study population was 31.46 years. 78.2% of the patients were males. Thirty-three (73.3%) patients undergone non-operative management. Splenic injury was reported as the most common abdominal solid organ injury followed by liver.Conclusions: With the advent of newer investigative modalities like contrast enhanced computed tomography (CECT) abdomen, more and more cases of blunt trauma abdominal solid organ injury can be managed non-operatively with effective ICU care. High-grade injuries do not preclude non-operative management.

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Section: Discussionmentioning

confidence: 73%

Management of blunt trauma abdomen in a tertiary care teaching hospital: a surgical audit

2018

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“…Maurice A et al [11] in Nigeria also observed Road traffic accidents were the commonest cause of abdominal injury. Tiwari C et al [8] in a study from Mumbai, India also observed that the Road traffic accident was the most common mode of injury seen in 14 patients (58.33%), followed by fall from height in 7 patients (29.16%) and these findings were similar to the findings of the present study.…”

Section: Discussionmentioning

confidence: 94%

A prospective observational study of outcome of conservative management in blunt abdominal trauma

Barkesiya¹,

Bambora²,

Sharma³

2020

Int. J. Surg. Sci.

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Introduction: Blunt abdominal trauma (BAT) presently is the third most common form of trauma worldwide. The management of blunt abdominal trauma (BAT) is challenging. Management may involve non-operative measures or surgical treatment, as appropriate. Recently there has been increasing trend towards non operative management (NOM) of blunt trauma amounting to 80% of the cases with failure rates of 2-3%. NOM is a standard protocol for hemodynamically stable solid organ injuries. Present research was conducted to study the spectrum, mode of injuries and role of conservative management and its subsequent outcome in cases of BAT. Material & Methods: A hospital based prospective observational comparative study was conducted at Department of Surgery of a tertiary care hospital. A total of 50 cases of blunt abdominal trauma coming to our hospital and fulfilling eligibility criteria were included in the study after taking informed consent. After initial assessment and stabilization of the patient in the emergency ward, the patient was followed in the inpatient ward to assess for clinical improvement. Management decisions i.e. conservative or operative was taken by treating surgeons. All cases managed conservatively were monitored closely for any complications and requirement for conversion to operative treatment was noted. Data was analyzed using statistical software SPSS ver. 21. Results: Mean age of the study subjects was 32.62 years with 94% males. Most common mode of Injury was road traffic accident (80%) followed by fall from height (20%). Most common site of injury in blunt abdominal trauma cases was spleen (34%) followed by liver (26%). Conservative management was tried initially in 47 (94%) cases. A total of 7 patients out of 47 (14.9%) were converted from conservative to operative management after initial investigations. During the course of hospital stay, 4 out of 40 (10%) cases were converted to operative management. Mortality rate observed in the cases of abdominal blunt trauma in present study was 16%. A solitary patient expired on conservative management, giving failure rate in conservatively managed cases as 2.8%. Conclusion:Our study proves that non operative management is a safe and effective method in the treatment of blunt injury abdomen. Close monitoring of vital signs and repeated clinical examinations is important as management by conservative management depends on clinical and hemodynamic stability of the patient.

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“…The spleen was the commonest organ affected in blunt abdominal injury as has also been recorded elsewhere. [18,19] The neurosurgery unit also had high number of patients who sustained severe head injury from motorcycle accident. In our country, from a recent review, many motorcycle riders and their passengers do not wear helmets.…”

Section: Discussionmentioning

confidence: 99%

Surgical inpatient mortality in a Nigerian Tertiary Hospital

Okonta

Igwe

2016

Niger J Clin Pract

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NonOperative Management of Blunt Solid Abdominal Organ Injury in Calabar, Nigeria

Cited by 4 publications

References 18 publications

Management of blunt trauma abdomen in a tertiary care teaching hospital: a surgical audit

Management of blunt trauma abdomen in a tertiary care teaching hospital: a surgical audit

A prospective observational study of outcome of conservative management in blunt abdominal trauma

Surgical inpatient mortality in a Nigerian Tertiary Hospital

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