AN OBSERVATIONAL STUDY OF MANAGEMENT OF SPLENIC INJURY IN A TERTIARY CARE HOSPITAL

Dr. Asma N. Khalife, Dr. Murtaza M. Dadla, Dr. Sandeep V. Sangale, Dr. Rajeev M. Joshi

Abstract


 

Background:

 

Trauma is the leading cause of death below 50 years of age. Management of blunt abdominal trauma has changed from early surgical intervention to non-operative management due to advents of interventional radiology, endoscopy and minimal access intervention.

 

Methods:

 

We performed a unicentric, retrospective and prospective study of 20 patients with blunt abdominal trauma with isolated splenic injury from September 2017 to August 2018 at a tertiary level hospital.

 

Results:

 

Male population of age group 21-30 years was the common. Road traffic accident was the leading etiology. Abdominal pain (85%) and tenderness (100%) were common. 20% patients were operated, 80% managed conservatively. Hemoglobin fall and an increase in abdominal girth are significantly associated (p value = 0.038 S and 0.001 S) with surgical management.

 

 

 

Conclusions:

 

A history, high index of suspicion and advance imaging are necessary to minimise delayed recognition. Patients with hemodynamic stability are candidates for non-operative management.


Keywords


splenic injury, abdominal trauma, Non-operative management

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