E-ISSN 2277-338X | ISSN 2320-4664
 

Original Research 


A prospective study of conservative management in cases of hemoperitoneum in solid organ injuries at tertiary care hospital in western India.

Chintan N Patel, Isha K Patel, Divyang N Dave.

Abstract
Background: Blunt abdominal trauma is one of the most common causes among solid organ injuries. Morbidity and mortality in blunt abdominal injuries is major cause of concern for surgeons.

Aims & Objective: This study was carried out to analyse patient profile, investigations and management of such patients.

Material and Methods: 50 patients, who admitted to civil hospital Surat were studied prospectively. Age and gender distribution, Mode of injury, clinical presentation, solid organs injured, and investigations carried out, length of hospital stay, management – conservative or operative and their outcome were studied.

Results: Out of 50 patients 46 were male, and 4 female patients. 60% patients are from 20-40 year age group. Majority are due to road traffic accidents (54%), and abdominal pain is the most common mode of presentation. Spleen (46%) and liver (38%) are the 2 most common organs involved. 88% patients are managed conservatively, remaining have to undergo laparotomy. Length of hospital stay (1-10 days in 37 patients) is lower patients who are managed by conservative management in comparison to operative management (11-20 days in 4 patients). 54% patients required 1 or more units of blood during hospital stay.

Conclusion: Non penetrating abdominal injuries are major cause of concern. Ultrasonography and CT scan play major role in detecting solid organ injuries. Conservative management is safer and reliable mode of management in solid organ injuries due to blunt abdominal trauma.

Key words: Blunt Abdominal Trauma; Hemoperitoneum; Solid Organ Injury; Conservative Management


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Chintan N Patel
Articles by Isha K Patel
Articles by Divyang N Dave
on Google
on Google Scholar
Article Statistics
 Viewed: 4332
Downloaded: 894
Cited: 0


REFERENCES
1. Meyer AA, Crass AR. Abdominal trauma. SurgClin North Am 1982;62(1):105-11. [Pubmed]   
2. Kenneth D, Boffard, Bowley. Accident and emergency surgery. In: Russel RCG, Williams NS, Bulstrode CJK, edi, Bailey and LoveÂ’s short practice of surgery. 24th ed. London: Arnold publications. 2004. p. 270-86.
3. Bodhit AN, Bhagra A, Stead LG. Abdominal Trauma: Never Underestimate It. Case Rep Emerg Med 2011:850625. [Pubmed]    [PMC Free Fulltext]   
4. Farrath S, Parreira JG, Perlingeiro JA, Solda SC, Assef JC. Predictors of abdominal injuries in blunt trauma. Rev Col Bras Cir 2012;39(4):295-301 [DOI via Crossref]    [Pubmed]   
5. Davis JJ, Cohn I, Nance FC. Diagnosis and management of blunt abdominal trauma. Ann Surg 1976; 183(6):672-8. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
6. Khanna R, Khanna S, Singh P, Khanna P, Khanna AK. Spectrum of blunt abdominal trauma in Varanasi. Quarterly J Surg Sciences 1999;35(1): 25-8.
7. Richards JR, Schleper NH, Woo BD, Bohnen PA, McGahan JP. Sonographic assessment of blunt abdominal trauma: A 4-year prospective study. J Clin Ultrasound 2002;30:59-67. [DOI via Crossref]    [Pubmed]   
8. Shah SM, Shah KS, Joshi PK, Somani RB, Gohil VB, Dakhda SM. To study the incidence of organ damage and post-operative care in patients of blunt abdominal trauma with haemoperitoneum managed by laparoscopy. J Minim Access Surg 2011;7(3):169-72. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   
9. Knudson MM, Maull KI. Nonoperative management of solid organ injuries. Past, present, and future. SurgClin North Am. 1999;79(6):1357-71. [DOI via Crossref]   
10. Schroeppel TJ, Croce MA, Diagnosis and management of blunt abdominal solid organ injury. CurrOpinCrit Care. 2007; 13(4):399-404. [DOI via Crossref]    [Pubmed]   
11. Cox EF, Blunt abdominal trauma: A 5 year Analysis of 870 patients requiring Celiotomy. Ann Surg 1984;199(4):467-74. [DOI via Crossref]   
12. Giannopoulos GA, Katsoulis IE, Tzanakis NE, Patsaouras PA, Digalakis MK. Non-operative management of blunt abdominal trauma. Is it safe and feasible in a district general hospital? Scand J Trauma ResuscEmerg Med 2009;17:22. [DOI via Crossref]    [Pubmed]    [PMC Free Fulltext]   

How to Cite this Article
Pubmed Style

Chintan N Patel, Isha K Patel, Divyang N Dave. A prospective study of conservative management in cases of hemoperitoneum in solid organ injuries at tertiary care hospital in western India.. Int J Med Sci Public Health. 2013; 2(3): 670-674. doi:10.5455/ijmsph.2013.250420134


Web Style

Chintan N Patel, Isha K Patel, Divyang N Dave. A prospective study of conservative management in cases of hemoperitoneum in solid organ injuries at tertiary care hospital in western India.. http://www.ijmsph.com/?mno=34470 [Access: August 24, 2019]. doi:10.5455/ijmsph.2013.250420134


AMA (American Medical Association) Style

Chintan N Patel, Isha K Patel, Divyang N Dave. A prospective study of conservative management in cases of hemoperitoneum in solid organ injuries at tertiary care hospital in western India.. Int J Med Sci Public Health. 2013; 2(3): 670-674. doi:10.5455/ijmsph.2013.250420134



Vancouver/ICMJE Style

Chintan N Patel, Isha K Patel, Divyang N Dave. A prospective study of conservative management in cases of hemoperitoneum in solid organ injuries at tertiary care hospital in western India.. Int J Med Sci Public Health. (2013), [cited August 24, 2019]; 2(3): 670-674. doi:10.5455/ijmsph.2013.250420134



Harvard Style

Chintan N Patel, Isha K Patel, Divyang N Dave (2013) A prospective study of conservative management in cases of hemoperitoneum in solid organ injuries at tertiary care hospital in western India.. Int J Med Sci Public Health, 2 (3), 670-674. doi:10.5455/ijmsph.2013.250420134



Turabian Style

Chintan N Patel, Isha K Patel, Divyang N Dave. 2013. A prospective study of conservative management in cases of hemoperitoneum in solid organ injuries at tertiary care hospital in western India.. International Journal of Medical Science and Public Health, 2 (3), 670-674. doi:10.5455/ijmsph.2013.250420134



Chicago Style

Chintan N Patel, Isha K Patel, Divyang N Dave. "A prospective study of conservative management in cases of hemoperitoneum in solid organ injuries at tertiary care hospital in western India.." International Journal of Medical Science and Public Health 2 (2013), 670-674. doi:10.5455/ijmsph.2013.250420134



MLA (The Modern Language Association) Style

Chintan N Patel, Isha K Patel, Divyang N Dave. "A prospective study of conservative management in cases of hemoperitoneum in solid organ injuries at tertiary care hospital in western India.." International Journal of Medical Science and Public Health 2.3 (2013), 670-674. Print. doi:10.5455/ijmsph.2013.250420134



APA (American Psychological Association) Style

Chintan N Patel, Isha K Patel, Divyang N Dave (2013) A prospective study of conservative management in cases of hemoperitoneum in solid organ injuries at tertiary care hospital in western India.. International Journal of Medical Science and Public Health, 2 (3), 670-674. doi:10.5455/ijmsph.2013.250420134





Most Viewed Articles
  • Management of Appendicular Lump: Early exploration Vs conservative management
    Chandra Prakash Pandey, Ram Chandra Kesharwani, Chandra Gopal Singh Chauhan, Manmohan Krishna Pandey, Purnima Mittra, Pramod Kumar, Arshad Raza
    Int J Med Sci Public Health. 2013; 2(4): 1046-1049
    » Abstract & References » doi: 10.5455/ijmsph.2013.230820131

  • Internet addiction among professional courses students: A study from central India
    Arvind Sharma, Rupesh Sahu, Pradeep Kumar Kasar, Richa Sharma
    Int J Med Sci Public Health. 2014; 3(9): 1069-1073
    » Abstract & References » doi: 10.5455/ijmsph.2014.180620142

  • Burden of non communicable diseases in India: Setting priority for action
    Kalpa Sharma
    Int J Med Sci Public Health. 2013; 2(1): 7-11
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.7-11

  • Diabetic nephropathy: Progression and pathophysiology
    Deepak N Parchwani, Amit A Upadhyah
    Int J Med Sci Public Health. 2012; 1(2): 59-70
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.59-70

  • Elevated levels of serum uric acid, creatinine or urea in preeclamptic women
    Magna Manjareeka, Sitikantha Nanda
    Int J Med Sci Public Health. 2013; 2(1): 43-47
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.43-47

  • Maternal and fetal outcome in oligohydramnios- Study of 100 cases
    Krishna Jagatia, Nisha Singh, Sachin Patel
    Int J Med Sci Public Health. 2013; 2(3): 724-727
    » Abstract & References » doi: 10.5455/ijmsph.2013.070520132

  • Zinc: The trace element of major importance in human nutrition and health
    Jayant D Deshpande, Mohini M Joshi, Purushottam A Giri
    Int J Med Sci Public Health. 2013; 2(1): 1-6
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.1-6

  • Knowledge, Attitude, and Practices (KAP) study on HIV / AIDS among HIV patients, care givers and general population in north-eastern part of India.
    L P Meena, S K Pandey, M Rai, Anju Bharti, Shyam Sunder
    Int J Med Sci Public Health. 2013; 2(1): 36-42
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.36-42

  • Patient satisfaction about health care services: A cross sectional study of patients who visit the outpatient department of a civil hospital at Surendranagar, Gujarat
    Krupal Joshi, Kishor Sochaliya, Shyamal Purani, Girija Kartha
    Int J Med Sci Public Health. 2013; 2(3): 659-663
    » Abstract & References » doi: 10.5455/ijmsph.2013.250420131

  • Prevalence and pattern of substance abuse among school childern in nothern India: A rapid assesment study
    Syed Shuja Qadri, RKD Goel, Jagjeet Singh, Surendra Kumar Ahluwalia, Rambha Pathak, Humaira Bashir
    Int J Med Sci Public Health. 2013; 2(2): 273-282
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.271-280

  • Most Downloaded
  • Minor disorder of pregnancy and its home management
    Lata Gururani, Atul Kumar, Gomathi Mahalingam
    Int J Med Sci Public Health. 2016; 5(4): 684-687
    » Abstract & References » doi: 10.5455/ijmsph.2016.03082015111

  • Association between serum ferritin and thyroid hormone profile in hypothyroidism
    Ashuma Sachdeva, Veena Singh, Isha Malik, Prasanta Saha Roy, Himanshu Madaan, Rajesh Nair
    Int J Med Sci Public Health. 2015; 4(6): 863-865
    » Abstract & References » doi: 10.5455/ijmsph.2015.24012015174

  • Internet addiction among professional courses students: A study from central India
    Arvind Sharma, Rupesh Sahu, Pradeep Kumar Kasar, Richa Sharma
    Int J Med Sci Public Health. 2014; 3(9): 1069-1073
    » Abstract & References » doi: 10.5455/ijmsph.2014.180620142

  • Effect of sleep deprivation on the attitude and performance of medical students, Riyadh, Saudi Arabia
    Hussein Saad Amin, Ibrahim Salamah Almazroua, Abdullah Sulaiman Alsahlan, Mohammed Abdullah Alrishan, Houssam Mourad Elmourad, Mohammed Mansour Alotaibi, Abdulaziz Ibrahim Almohaisin
    Int J Med Sci Public Health. 2016; 5(3): 575-580
    » Abstract & References » doi: 10.5455/ijmsph.2016.17112015207

  • Management of Appendicular Lump: Early exploration Vs conservative management
    Chandra Prakash Pandey, Ram Chandra Kesharwani, Chandra Gopal Singh Chauhan, Manmohan Krishna Pandey, Purnima Mittra, Pramod Kumar, Arshad Raza
    Int J Med Sci Public Health. 2013; 2(4): 1046-1049
    » Abstract & References » doi: 10.5455/ijmsph.2013.230820131

  • Epidemiology and prevalence of dermatological diseases among schoolchildren of Medak district, Telangana—a clinical survey
    Lakshmi Kumari Villa, Gopi Krishna
    Int J Med Sci Public Health. 2016; 5(7): 1475-1478
    » Abstract & References » doi: 10.5455/ijmsph.2016.28102015238

  • Gunthers with haemolytic anaemia extremly rare: A case report
    Nilesh Kumar, Ankur Varshney, Arvind Anand, Dibyaranjan Behera, Ravi Anand, Ashutosh Tiwari
    Int J Med Sci Public Health. 2013; 2(2): 472-474
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.313-315

  • Diabetic nephropathy: Progression and pathophysiology
    Deepak N Parchwani, Amit A Upadhyah
    Int J Med Sci Public Health. 2012; 1(2): 59-70
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.59-70

  • Patient satisfaction about health care services: A cross sectional study of patients who visit the outpatient department of a civil hospital at Surendranagar, Gujarat
    Krupal Joshi, Kishor Sochaliya, Shyamal Purani, Girija Kartha
    Int J Med Sci Public Health. 2013; 2(3): 659-663
    » Abstract & References » doi: 10.5455/ijmsph.2013.250420131

  • Burden of non communicable diseases in India: Setting priority for action
    Kalpa Sharma
    Int J Med Sci Public Health. 2013; 2(1): 7-11
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.7-11

  • Most Cited Articles
  • Zinc: The trace element of major importance in human nutrition and health
    Jayant D Deshpande, Mohini M Joshi, Purushottam A Giri
    Int J Med Sci Public Health. 2013; 2(1): 1-6
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.1-6
    Cited : 25 times [Click to see citing articles]

  • Burden of non communicable diseases in India: Setting priority for action
    Kalpa Sharma
    Int J Med Sci Public Health. 2013; 2(1): 7-11
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.7-11
    Cited : 13 times [Click to see citing articles]

  • Design of fuzzy expert system for diagnosis of cardiac diseases
    Smita Sushil Sikchi , Sushil Sikchi , M S ALI
    Int J Med Sci Public Health. 2013; 2(1): 56-61
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.56-61
    Cited : 9 times [Click to see citing articles]

  • Sugammadex associate persistant bradycardia
    Murat Bilgi, Abdullah Demirhan, Akcan Akkaya, Umit Yasar Tekelioglu, Hasan Kocoglu
    Int J Med Sci Public Health. 2014; 3(3): 372-374
    » Abstract & References » doi: 10.5455/ijmsph.2013.251220131
    Cited : 8 times [Click to see citing articles]

  • Migration and health-care access: Barriers to access government health services by migrant tribal community living in an eastern Indian city
    Suchismita Mishra, Yadlapalli S Kusuma, Bontha V Babu
    Int J Med Sci Public Health. 2015; 4(1): 101-108
    » Abstract & References » doi: 10.5455/ijmsph.2015.0110201424
    Cited : 7 times [Click to see citing articles]

  • Clinico-microbiological profile of women with vaginal discharge in a tertiary care hospital of northern India
    Varsha Chaudhary, Ved Prakesh, Kian Agarwal, Vijender Kumar Agrawal, Arun Singh, Sachin Pandey
    Int J Med Sci Public Health. 2012; 1(2): 75-80
    » Abstract & References » doi: 10.5455/ijmsph.2012.1.75-80
    Cited : 6 times [Click to see citing articles]

  • Correlation between obesity and cardio respiratory fitness
    Prabha Setty, BV Padmanabha, BR Doddamani
    Int J Med Sci Public Health. 2013; 2(2): 300-304
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.298-302
    Cited : 6 times [Click to see citing articles]

  • Knowledge, Attitude, and Practices (KAP) study on HIV / AIDS among HIV patients, care givers and general population in north-eastern part of India.
    L P Meena, S K Pandey, M Rai, Anju Bharti, Shyam Sunder
    Int J Med Sci Public Health. 2013; 2(1): 36-42
    » Abstract & References » doi: 10.5455/ijmsph.2013.2.36-42
    Cited : 6 times [Click to see citing articles]

  • Non albicans Candida species: its isolation pattern, species distribution, virulence factors and antifungal susceptibility profile
    Sachin Chandrakant Deorukhkar, Santosh Saini
    Int J Med Sci Public Health. 2013; 2(3): 533-538
    » Abstract & References » doi: 10.5455/ijmsph.2013.080320131
    Cited : 6 times [Click to see citing articles]

  • Initial default among tuberculosis patients diagnosed in selected medical colleges of Puducherry: issues and possible interventions
    Divija Pillai, Anil J Purty, Stalin Prabakaran, Zile Singh, Govindarajan Soundappan, Velavan Anandan
    Int J Med Sci Public Health. 2015; 4(7): 957-960
    » Abstract & References » doi: 10.5455/ijmsph.2015.30012015196
    Cited : 6 times [Click to see citing articles]