Is delayed laparotomy for blunt abdominal trauma a valid quality improvement measure in the era of nonoperative management of abdominal injuries ?

2002 ◽  
Vol 127 (7) ◽  
pp. 549-550
2017 ◽  
Vol 4 (10) ◽  
pp. 3262 ◽  
Author(s):  
Sandesh Kumar Srivastava ◽  
Anand Kumar Jaiswal ◽  
Dinesh Kumar

Background: Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. Many injuries may not manifest during the initial assessment and treatment period. Injury to intra-abdominal structures can be classified into 2 primary mechanism of injury-compression forces and deceleration forces. Compression or concussive force may result from direct blows or external compression against a fixed object. Deceleration forces causes stretching and linear shearing between relatively fixed and free objects.Methods: A prospective study of 48 patients admitted with blunt abdominal injuries in the department of surgery, B.R.D. Medical College Gorakhpur during a period of 1 year.Results: Majority of patients of blunt abdominal injuries in present study were in 11-20 year of age group followed by 31-40 year of age group followed by 41-50 year of age group. Female to male ratio was 7:1. In the present study 41% of patients were subjected to non-operative management.Conclusions: Males were pre-dominantly affected. Road traffic accident was the most common cause of injury. Though conservative management is successful in carefully selected patients, operative management remains the main stay of treatment.


1997 ◽  
Vol 169 (4) ◽  
pp. 1011-1014 ◽  
Author(s):  
L Ruess ◽  
C J Sivit ◽  
M R Eichelberger ◽  
C S Gotschall ◽  
G A Taylor

1984 ◽  
Vol 19 (5) ◽  
pp. 515-518 ◽  
Author(s):  
E.R. Grisoni ◽  
M.W.L. Gauderer ◽  
J. Ferron ◽  
R.J. Izant

Injury Extra ◽  
2010 ◽  
Vol 41 (8) ◽  
pp. 85-87 ◽  
Author(s):  
Takashi Yokoyama ◽  
Hiroyuki Kuge ◽  
Kiyoshi Kamada ◽  
Hisanori Kashizuka ◽  
Mitsutoshi Tatsumi

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