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TITLE:

A CROSS-SECTIONAL RESEARCH TO ESTIMATE THE ASSOCIATION OF ORGANAL INJURY WITH BLUNT ABDOMINAL TRAUMA

AUTHORS:

Dr Mudassar Abbas, Dr Ayesha Rehman, Dr Aqil Hassan

ABSTRACT:

Objective: The objective of this research was to evaluate the injured intra-abdominal organs correlated with abdominal trauma. Methodology: This cross-sectional research was carried out at Jinnah Hospital, Lahore (February to November 2018). The total research sample included 110 patients who presented blunt trauma abdomen history who underwent investigative laparotomy. Patients gave their consent before the commencement of this study. Ethical review committee permission was also taken before the commencement of research. The patients were selected in the age limit of 12 years to 60 years. Blunt abdominal trauma diagnosis was carried out with the presence of rigidity, tenderness and bruise on the wall of the abdomen. All those patients sustaining an injury for twelve hours were made a part of the research. We did not include all those patients who were treated non-operatively, moribund ASA-5 patients and penetrating abdominal injuries. Results: In the total sample of 110 we included all those patients who presented a history of blunt abdominal trauma with a mean age of (36.11 ± 12.57) years. There were 92 males (83.64%) and 18 females (16.36%). There were 64 road accident cases (58.18%), 29 height fall cases (26.36%) and 17 cases of physical assault (15.46%). In terms of injuries, 28 cases were of the injured pancreas (25.45%), 30 with injured Duodenum (27.27%), 34 with injured kidney (30.91%) and 18 suffered pancreaticoduodenal injuries (16.36%). Conclusion: Most of the patients suffered injuries due to road accidents with the common injured site of blunt abdominal trauma and the next most common occurrence of injuries was reported about the kidney. Research highlights prioritization of public health approach for the awareness about traffic laws and abiding by those laws along with prevention about violence in the country as most of the injuries resulted due to violence and road accidents. Outcomes also show that most of the injured cases were male than females and they experienced blunt abdominal trauma. Most involved group for injures was from 12 years to 35 years of age. Keywords: Retroperitoneal Organs, Blunt Trauma, Abdominal, Laparotomy, Road Accident, Traffic, Violence and Injury.

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