DOI: 10.36347/sjams.2017.v05i06.010

Pages: 2078-2082

Blunt abdominal trauma is one of the important components of poly-trauma. It requires suspicion, investigation and proper management in time, to avoid morbidity & mortality. AIM: The aim of this prospective study spanning 1 year w.e.f. Jan, 2016 to December, 2016 in this tertiary care institute of SP Medical College & Hospital, Bikaner was to find out BTA patients in RTA, fall from height, and assault like injuries. We studied type of injuries, male-female ratio, age group& their operative & non-operative management. The study is based on 60 cases of BTA; managed in this institute from admission, investigation, management & possible follow up. Observations are depicted in different tables. Liver is most commonly involved solid organ followed by spleen, kidney & pancreas respectively. Initially solid organ injuries cases where treated by surgery, but than non-operative management are tried in haemostatically stable patients. Hollow visceral injuries were always managed by laparotomy & repair or resection as and when needed. Mortality occurred in 3 patients out 60 patients because of delay to reach hospital or septicemia, renal failure and shock due to multi organ failure. Close supervision with sophisticated infrastructure and quick action significantly reduces mortality.