Study of the spectrum of splenic trauma in tertiary care centre in GMC Jammu
DOI:
https://doi.org/10.18203/2349-2902.isj20223160Keywords:
Splenic trauma, FAST, CT scan, NOM, SplenectomyAbstract
Background: the aim of the study was to study the clinical presentations, modes of management and outcome in a patient with splenic trauma. Setting and design of study retrospective observational study conducted in a tertiary care hospital in GMC Jammu.
Methods: The study was done in the department of general surgery in a tertiary care centre that has round the clock availability of all radiological investigations. A total 50 cases of splenic trauma diagnosed by focussed abdominal sonography in trauma (FAST) or CT scan or per operatively were enrolled in the study.
Results: Maximum number (36%) of patients were aged between 31-40 years of age. Most of the patients (92%) presented with blunt abdominal trauma. RTA (40%) and fall (40%) were the common causes of blunt abdominal trauma. Maximum patients (36%) had grade III splenic injury.30% of the patients managed by NOM while 70% underwent splenectomy.
Conclusions: Patients with splenic injury (grade I-grade III) can be managed by NOM without increased morbidity and mortality through proper monitoring.
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References
Townsend C. Sabiston’s textbook of surgery, In ch. 161st South Asia edition, section III. 2007;435-6.
Nicholas JM, Rix EP, Easley KA. Changing patterns in the management of penetrating abdominal trauma: The more things change, the more they stay same. J Trauma. 2003;55:1095-1108.
Beuran M, Negoi I, Paun S, Runcanu A, Venter D, Iordache F. Selective nonoperative management of solid abdominal visceral lesions. Chirurgia (Bucur). 2010;105:317-26.
Haan J, Scott J, Boyd-Kranis RL, Ho S, Kramer M, Scalea TM. Admission angiography for blunt splenic injury: Advantages and pitfalls. J Trauma. 2001;51:1161-5.
Haan JM, Biffl W, Knudson MM,Davis KA, Oka T, Majercik S. Western Trauma Association Multi-Instituional Trials Committee. Spleinc embolization revisited: a multicenter review. J Trauma. 2004;56:542-7.
Kasula J, Yerroju K, Masood SV, Pindicura CV, Quadri SS. A profile of splenic trauma cases managed at a tertiary care center. J NTR Univ Health Sci. 2016;5:7-12.
Ahmed H, Pegu N, Rajkhowa K, Baishya RK, Hiquemat N. Splenic injury: a clinical study and management in a tertiary care hospital. Int Surg J. 2015;2:652-9.
Agbakwuru EA, Akinkuolie AA, Sowande OA, Adisa OA, Alatise OI,Onakpoya UU et al. Splenic injuries in a semi urban hospital in Nigeria. East Cen Afr J Surg 2008;13:95-100.
Bansal A, Bansal AK, Bansal V, Kumar A. Experience with splenic trauma in Jeevan Jyoti Hospital, Allahabad, Uttar Pradesh, India. IJDR. 20155:5510-13.
Goins WA, Rodriguez A, Joshi M, Jacobs D. Intrabdominal abscess after blunt abdominal trauma. Ann Surg. 1990;212:60-5.
Khanna R, Khanna S, Singh P, Khanna P, Khanna AK. Spectrum of blunt abdominal trauma in Varanasi. Quaterly J Surg Sci. 1999;35(1):25-8.
Chalya PL, Mabula JB, Giiti G, Chandika AB, Dass RM, McHembe MD et al. Splenic injuries at bugando medical centre in nortwestern Tanzania: A tertiary hospital experience. BMS Res Notes. 2012;5:59.
Tan KK, Chiu MT, Vijayan A. Management of isolated splenic injuries after Blunt Trauma: An institution’s experience over 6 years. Med J Malaysia. 2010;65:304-6.
Mclellan BA, Hanna SS, Monoya DA. Analysis of peritoneal parameters in blunt abdominal trauma. J Trauma. 1985;25:393-99.
Allen RB, Curry GJ. Abdominal trauma: a study of 297 consecutive cases. Am J Surg. 1957;93:398-404.
Finelli DA, Duncan RE, Fallon WF. Current Management of Splenic Injury. AHC Media. 2008.
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