Abdominal Injuries in University of Port Harcourt Teaching Hospital
| Autor: | A Dodiyi-Manuel, Nze Japhet Jebbin, P.O. Igwe |
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| Rok vydání: | 2015 |
| Předmět: |
University of Port Harcourt Teaching Hospital
medicine.medical_specialty business.industry Exploratory laparotomy Mortality rate Incidence (epidemiology) medicine.medical_treatment lcsh:Surgery Postoperative complication Poison control Abdominal injuries blunt lcsh:RD1-811 Surgery medicine.anatomical_structure Blunt Injury prevention medicine Abdomen Original Article penetrating business Abdominal injuries blunt penetrating University of Port Harcourt Teaching Hospital |
| Zdroj: | Nigerian Journal of Surgery; Vol 21, No 1 (2015); 18-20 Nigerian Journal of Surgery, Vol 21, Iss 1, Pp 18-20 (2015) Nigerian Journal of Surgery : Official Publication of the Nigerian Surgical Research Society |
| ISSN: | 1117-6806 |
| Popis: | Background: Abdominal injury is relatively common in both civilian and military casualties and remains a major source of morbidity and mortality. The mechanism of injury may be blunt or penetrating. Some would require operative intervention, whereas others may be managed conservatively. Objective: The aim was to determine the pattern and outcome of management of abdominal injuries in the University of Port Harcourt Teaching Hospital (UPTH). Patients and Methods: This was a prospective study of all patients with abdominal injuries seen and managed in UPTH over a 4‑year period (from January 1, 2009 to December 31, 2012). Relevant data were recorded and analyzed using Statistical Package for Social Sciences version 16. Results: Forty‑five patients were seen during the study period. There were 40 males (88.9%) and five females (11.1%) making a male to female ratio of 8:1. Their ages ranged from 15 to 45 years with a mean of 27.8 ± 1.6 years and 21 to 30 years was the most commonly affected age group. The mechanism of injury was penetrating in 33 patients (73.3%) and blunt in 12 patients (26.7%). Thirty‑four patients (75.6%) had an exploratory laparotomy after resuscitation, while 11 (24.4%) were managed conservatively. Small bowel was the most commonly injured organ following penetrating injury, seen in 14 patients (42.4%) while spleen was the most common in blunt injuries, seen in five patients (41.7%). The most common postoperative complication was surgical site infection, seen in four patients (8.9%). Two patients died giving a mortality rate of 4.4%. Conclusion: Gunshot to the abdomen is the most common cause of abdominal injury in UPTH. Serious campaign and legislation against militant and criminal activities would help to reduce the incidence.Keywords: Abdominal injuries blunt, penetrating, University of Port Harcourt Teaching Hospital |
| Databáze: | OpenAIRE |
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