Page 34 - World Journal of Laparoscopic Surgery

VD Gohil et al
ii. Sex distribution ratio (Table 1): 14,15 which make them susceptible to road traffic accident. Blunt
Thus in our study male patients are more then female patients abdominal injury due to fall down is second leading cause.
who are comparable to others study. This may be due to v. Incidence and pattern of organ injury (Table 4): Liver
involvement of male mainly into traveling, alcohol abuse, injury is most commonly seen injury in BTA in this present
earning. series followed by spleen. In Nance and Cohn’s series and
22
in Town send and colleagues series spleen is commonly
Table 1: Sex distribution ratio involved. Pattern of organ injury and no. of patients are
Sr. Series No. of cases Total different due to different countries, different mode of injuries
no. (% of total cases) in India as compared to western countries.
Male Female
1 Timothy-C Fabian et al(1992) 15 149 33 182 Table 4: Incidence and pattern of organ injury
(82%) (18%) (100%)
Sr.no. Organ injured Michael Town Present
2 YB Chol et al(2002) 14 49 29 78 in BTA lenience send and series
series (%) colleagues (%)
(63%) (37%) (100%)
series (%)
3 Present study(2006) 19 06 25 1 Liver 15(15%) 8(47%) 14(56%)
(76%) (24%) (100%) 2 Spleen 27(27%) 7(41%) 06(24%)
3 Kidney 27 (27%) 0 0
iii. Age distribution (Table 2): 14,15 4 5 Small bowel 06 2(2%) 02(8%)
0
01
Stomach
0
In our study the most common age group involved is 11-20 6 Colon 02 0 0
years and 21-30 years age group. The median age group in 7 Pancreas/duodenum 05 0 0
our study is 23 years. The median age group in YB Chol 8 Others (e.g. retro- 17 0 03(12%)
14
et al series is 40.9 years and in Timothy C Fabian et al peritoneal bladder
15
series is 32 years. This higher incidence in this particular injury, no injury)
young age group is mainly because of economic status, vi. Mode of management (Table 5): 19,20 In this present series
high mobility and increased in utilization of vehicles by this a laparoscopy used as a diagnostics well as therapeutic
young age groups and exposure to bed environment and tool for patients with blunt trauma abdominal (BTA). Here
alcohol abuse and early involvement in earning, etc 25 cases studied out of which only 1 converted to
particularly in India. exploratory laparotomy.
Table 5: Mode of management
Table 2: Age distribution
Sr. Series Laparoscopy Laparo- Total
Sr. no. Age (yrs) No. of patients Total no. tomy
1 0-10 years 03 12% Non- Operative Total
2 11-20 years 08 32% operative
1 Pascal Fabian 06 20 26 6(19%) 32
3 21-30 years 09 36%
et al (2002)
4 31-40 years 05 20% 2 Sarmiento 20 03 23 2(34%) 35
et al (2003)
iv. Mode of injury (Table 3): 3 Present study 22 02 24 1(4%) 25
In present study it shows that the blunt trauma abdomen is • All patients were undergone emergency diagnostic
mainly due to road traffic accidents (68%) nearer to 2/3 of laparoscopy, out of which 22 had either liver or splenic
total cases which is same as in Jason Smith et al series. 18 injury in the form of contusion, laceration or tear with
This may be due to increased transportation and mobilization no active bleeding from the sight of injury with non
of people from here to there mainly through the vehicles expanding hematoma in surrounding. All these cases

Table 3: Mode of injury resulting in blunt trauma abdomen
Sr. no. Series No. of cases (% of total case) Total
RTA Fall from Assaulted Others
height injury
1 Jason Smith et al 18 591(61%) 67(7%) 232(24%) 79(8%) 969(100%)
2 Present study 17(68%) 07(28%) 01(04%) 00(0%) 25(100%)

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