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JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH
By Deepika Shelar, Anitha Kandi, Diksha Srivastava and 1 others.
Penetrating abdominal trauma is a major cause of morbidity and mortality worldwide. Prompt recognition and timely intervention are crucial for improving patient outcomes.
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To evaluate the clinical profile, management strategies, and outcomes of patients presenting with penetrating abdominal trauma at a tertiary care centre. Materials and Methods: This prospective observational study was conducted in the Department of General Surgery at Government Medical College and Hospital, Aurangabad (Chh. Sambhajinagar), Maharashtra, India between September 2020 and October 2022. A total of 68 patients with penetrating abdominal injuries were included. Patients were evaluated using clinical examination, laboratory investigations, and appropriate radiological imaging. Management was guided by haemodynamic status and clinical findings. Postoperative outcomes and complications were recorded.
The majority of patients were young adults, with peak incidence in the 21-30-year age group 28 (41.2%) patients. The mean age was 31.7±11.2 years, with a male predominance 60 (88.2%) males. Homicidal stab injuries were the most common mode of injury 56 (82.4%) patients. The most frequently injured structures were the mesentery 17 (37.0%) patients and small bowel 16 (34.8%) patients. The most common operative procedures were mesenteric repair and primary bowel repair. The negative laparotomy rate was 13.0%. The mean hospital stay was 7.0±3.4 days. The overall mortality rate was 9 (13.2%) patients, mainly due to haemorrhagic shock and septic complications. Postoperative complications were observed in 17 patients with respiratory complications, surgical site infection, and burst abdomen (23.5% each) being the most common.
Penetrating abdominal trauma predominantly affects young adults and remains associated with significant morbidity and mortality.
Published in JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. The abstract is shown as published and remains the work of its authors; read the full article at the source.
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