ZAMEER HUSSAIN LAGHARI, AFZAL JUNEJO, QAMBAR HUSSAIN LAGHARI,
ABSTRACT | Full Text Pdf
Background: Trauma is leading cause of death in young adult in UK. Penetrating abdominal injury implies either Gunshot wound or stab wound. Stabbing are more common than Gun Shot. Stabbing involves the transfer of low level of energy, with damage confined to the course of the wound track; tissue away from the tract is unaffected unless transaction of neurovascular supply occurs.
Methodology:
Study Design: Prospective Descriptive Setting: Department of Surgery at Liaquat University of Medical & Health Sciences, Jamshoro.
Sample Size: 50 patients of penetrating abdominal trauma followed up for 3 months.
Results: The age of the patients ranged from 7 to 65 years with mean age of 30 years. Out of these 50 patients, 4 (8%) patients were females and 46 (92%) male. Majority of the patient had firearm injuries 68% while stab injuries were only seen in 32% of cases (Table I). Mean lapse time between trauma and surgical intervention was 4.25 hours. A total of thirteen patients (26%) were having hepatic injury with other associated injuries to other abdominal organs. Out of these, eleven patients (22%) had gunshot injuries, and two (4%) got stab injury. Hepatic trauma varied from a small laceration to complete shattering of the liver lobe
Conclusion: Liver is the most commonly injured solid organ in which coupting suturing is sufficient in 50% of the patients. Splenectomy still is safe option to deal with splenic trauma in our set up. In cases of pancreatic trauma peri-pancreatic drainage is an acceptable and safe option. Resection of the pancreas is not a desirable emergency procedure.