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International Journal of Applied Research
  • Multidisciplinary Journal
  • Printed Journal
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ISSN Print: 2394-7500, ISSN Online: 2394-5869, CODEN: IJARPF

IMPACT FACTOR (RJIF): 8.4

Vol. 2, Issue 2, Part L (2016)

Clinical study of stab wounds and other penetrating injuries to the abdomen

Clinical study of stab wounds and other penetrating injuries to the abdomen

Author(s)
Dr. K Dushyanth
Abstract
Background and Objectives: Penetrating injury abdomen is most common in young males in the age group of 20-30 years. These injuries usually affect young healthy individuals in the society. Abdomen is the most commonly involved part in penetrating injuries. Its anatomical location makes it unprotected and most susceptible for penetrating injuries either homicidal or accidental. Penetrating injuries can be homicidal, accidental or rarely suicidal for which exploratory laparotomy is done. Abdominal stab injuries mostly homicidal are common in India.
Methods: This Study is a prospective study of one hundred cases of penetrating injury to the abdomen admitted at Shadan Institute of Medical Sciences from January 2015 to December 2015. All patients with history of penetrating injury to the abdomen during the period, admitted are included in the study. By clinical and radiological criteria, all cases were evaluated for abdominal injury due to penetration. All patients with peritoneal breach, evisceration, signs of peritonitis and shock underwent laparotomy.
Result and Discussion: 180 cases (90%) had significant abdominal injury requiring laparotomy. Criteria for laparotomy were evisceration (24%), shock (36%) and peritonitis (32%). Mere peritoneal penetration is a poor indicator of emergency laparotomy in stab wounds. Erect X-ray abdomen is unreliable criteria for laparotomy in presence of other signs.
Conclusions: Majority of patients require operative intervention particularly those with haemodynamic instability, generalized peritonitis, evisceration of omentum and bowel and continuing haemorrhage. Peritoneal penetration as such is a poor indicator of significant organ injury and requires direct organ specific evaluation such as, computed tomography or laparoscopy to identify patients who can be safely treated without operations.
Pages: 836-841  |  275 Views  51 Downloads
How to cite this article:
Dr. K Dushyanth. Clinical study of stab wounds and other penetrating injuries to the abdomen. Int J Appl Res 2016;2(2):836-841.
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