University of Khartoum

Management of Abdominal Trauma in Khartoum Teaching Hospital

Management of Abdominal Trauma in Khartoum Teaching Hospital

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Title: Management of Abdominal Trauma in Khartoum Teaching Hospital
Author: Daoud, Hilmi
Abstract: Abdominal trauma is an important cause of morbidity and mortality. A prospective descriptive study was carried out to determine the presentation, management and outcome in the Surgical Department at Khartoum Teaching Hospital, in the period from October 2002 to December 2003. All patients with blunt or potentially penetrating abdominal injuries were included, excluding children (below 14 years old). A hundred patients were studied. Fifty two patients sustained penetrating abdominal trauma; six of them had gunshot wounds, 41patients (78.8%) were stabbed in their abdomen and five patients were injured by sharp objects. Forty eight patients sustained blunt abdominal trauma, 58.3% of them (28 patients) were involved in road traffic accidents. Eleven patients out of the forty six patients with penetrating abdominal injuries (23.9%) were treated conservatively with clinical reassessment and could subsequently be discharged without complications except one patient (9%) who was shifted to surgery. Thirty six patients with penetrating injuries underwent laparotomies. 31.7% of the laparotomies were non-therapeutic. Morbidity rate after laparotomy was 8% and mortality rate was 2.17%. 8 Twenty-two patients out of the 48 patients with blunt abdominal trauma (45.8%) were treated conservatively with clinical reassessment. Five of them (22.7%) were shifted to surgery and the rest could subsequently be discharged without laparotomy. Thirty one patients underwent laparotomies, twenty eight of them were therapeutic laparotomies (90.3%), and three were non-therapeutic laparotomies (9.68%). Mortality rate in blunt trauma was 4.17% (n=2), and morbidity rate was 7.14%.
URI: http://hdl.handle.net/123456789/7651
Date: 2015-03-30


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