BLUNT ABDOMINAL TRAUMA CONSERVATIVE VERSUS SURGICAL MANAGEMENT
Mohamed Aly Abdel Gawwad Sokkar;
Abstract
Summary
SUMMARY
Abdominal trauma may result in a variety of intra-abdominal injuries, ranging in severity from mild to life threatening.
All of the traditional findings on physical examination of any patient with an abdominal complaint may be elicited in the patient after blunt abdominal trauma. The difficulty lies in the interpretation of the examination, especially in light of frequent co-morbidity (for example head injury and alcohol intoxication).
Several diagnostic modalities have been recognized for the detection of intra-abdominal injuries. CT, VIS and DPL are widely used in the diagnosis of blunt abdominal trauma.
Historically, exploratory laparotomy was done for the patient, clinically suspected to have intra-abdominal organ injury following blunt abdominal trauma. Nowadays, the choice of investigation and management depends primarily on the haemodynamic stability of the patient.
In this study, including 50 patients with history of blunt abdominal trauma, DPL was done for haemodynamically unstable patients.
Patients, v:hc \Vere unstable with positive DPL, underwent laparotomy, while in the haemodynamically normalized patient the appropriate choice of study was CT scan, which provided organ specificity and allowed the option of conservative treatment of solid organ injury,
'
when appropriate.
-161-
SUMMARY
Abdominal trauma may result in a variety of intra-abdominal injuries, ranging in severity from mild to life threatening.
All of the traditional findings on physical examination of any patient with an abdominal complaint may be elicited in the patient after blunt abdominal trauma. The difficulty lies in the interpretation of the examination, especially in light of frequent co-morbidity (for example head injury and alcohol intoxication).
Several diagnostic modalities have been recognized for the detection of intra-abdominal injuries. CT, VIS and DPL are widely used in the diagnosis of blunt abdominal trauma.
Historically, exploratory laparotomy was done for the patient, clinically suspected to have intra-abdominal organ injury following blunt abdominal trauma. Nowadays, the choice of investigation and management depends primarily on the haemodynamic stability of the patient.
In this study, including 50 patients with history of blunt abdominal trauma, DPL was done for haemodynamically unstable patients.
Patients, v:hc \Vere unstable with positive DPL, underwent laparotomy, while in the haemodynamically normalized patient the appropriate choice of study was CT scan, which provided organ specificity and allowed the option of conservative treatment of solid organ injury,
'
when appropriate.
-161-
Other data
| Title | BLUNT ABDOMINAL TRAUMA CONSERVATIVE VERSUS SURGICAL MANAGEMENT | Authors | Mohamed Aly Abdel Gawwad Sokkar | Issue Date | 2003 |
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