A COMPARATIVE STUDY TO EVALUATE OUTCOME OF SURGICAL VERSUS CONSERVATIVE MANAGEMENT IN A CASE OF SOLID ORGAN INJURY FOLLOWING BLUNT TRAUMA ABDOMEN

Abstract

Introduction: Blunt abdominal trauma is a leading cause of morbidity and mortality among all age groups. The abdomen is a diagnostic black box. Blunt abdominal trauma is usually not obvious clinically and frequently unreliable. Identification of serious intra-abdominal pathology is often challenging. Missed intra-abdominal injuries and concealed hemorrhage are frequent causes of increased morbidity and mortality, especially in patients who survive the initial phase after an injury. Aims & Objectives: To establish diagnosis in solid organ injury without any hollow viscous injury following blunt trauma. Material and methods: The present study was a Prospective Cohort Study. This Study was conducted from 1st September,2017 to 31st August,2019 at Burdwan Medical College and Hospital, Burdwan, West Bengal. Total 100 patients were included in this study. Result: 7 out of 9 pancreatic ductal injury patients have been surgically managed. Among the 2 ductal injury patients who have been conservatively managed, found expired after conservative treatment and one presented with pseudocyst of pancreas. Conclusion: Liver injury has been surgically managed by hepatorraphy and absorbable gelatin sponge packing while splenic trauma can be surgically managed by splenorrhaphy and splenectomy.