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Information Journal Paper

Title

Penetrating abdominal injuries in an emerging semi-urban teaching hospital

Author(s)

Olaogun Julius Gbenga | Etonyeaku Amarachukwu Chiduziem | Ige Joshua Taye | Obafemi Kayode | Issue Writer Certificate 

Pages

  7-12

Abstract

 Objective: There has been a worldwide rise in the prevalence of Penetrating abdominal injury (PAI), and there are both inter-country and intra-country variations in frequencies. This study evaluates the mechanisms and Pattern of penetrating abdominal injuries and the treatment Outcome in our center. Methods: This descriptive study of adult patients managed for PAI was conducted at the Ekiti State University Teaching Hospital (EKSUTH), Ado-Ekiti from January 2015 to December 2018. Data were prospectively collected and analyzed by using descriptive statistics from Statistical Package for Social Sciences (SPSS) version 20. 0. Results: There were 96 patients managed for abdominal injuries during the study period. Forty-six (47. 9%) of them had PAI, while 50 (52. 1%) others sustained blunt trauma. Patients ages ranged from 17-72 years (mean = 34. 2± 10. 8 years; median = 34 years). Majority, 42 (91. 3%), were males, while 4 (8. 7%) were females (M: F=11: 1). The most afflicted age group was in the 4th decade. Majority of the injuries were due to gunshot (60. 9%) followed by stab (26. 1%), unsafe abortion (6. 5%), road traffic injury (4. 3%) and fall (2. 2%). Gastrointestinal injuries were the most common with small bowel perforations predominating. Solid organ injuries were only seen in 3 (7. 9%) patients. Eight (17. 4%) had associated extra-abdominal injuries. Thirty-eight (82. 6%) patients required exploratory Laparotomy, while 8 (17. 4%) were managed non-operatively. The negative Laparotomy rate was 2. 6%. Seven (15. 2%) patients developed complications which were mostly wound infection (10. 8%). The duration of hospital stay was 1-58 days (mean 12. 7± 10. 5). Three patients (6. 5%) with gunshot injuries died. Conclusion: Gunshot wounds were the major variant of PAI, and the highest cause of mortality from it. Gut injuries were most common, and exploratory Laparotomy remains the main-stay of treatment, while Non-operative management is practicable in carefully selected cases.

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    Cite

    APA: Copy

    Olaogun, Julius Gbenga, Etonyeaku, Amarachukwu Chiduziem, Ige, Joshua Taye, & , Obafemi Kayode. (2020). Penetrating abdominal injuries in an emerging semi-urban teaching hospital. JOURNAL OF EMERGENCY PRACTICE AND TRAUMA, 6(1), 7-12. SID. https://sid.ir/paper/768551/en

    Vancouver: Copy

    Olaogun Julius Gbenga, Etonyeaku Amarachukwu Chiduziem, Ige Joshua Taye, Obafemi Kayode. Penetrating abdominal injuries in an emerging semi-urban teaching hospital. JOURNAL OF EMERGENCY PRACTICE AND TRAUMA[Internet]. 2020;6(1):7-12. Available from: https://sid.ir/paper/768551/en

    IEEE: Copy

    Julius Gbenga Olaogun, Amarachukwu Chiduziem Etonyeaku, Joshua Taye Ige, and Obafemi Kayode, “Penetrating abdominal injuries in an emerging semi-urban teaching hospital,” JOURNAL OF EMERGENCY PRACTICE AND TRAUMA, vol. 6, no. 1, pp. 7–12, 2020, [Online]. Available: https://sid.ir/paper/768551/en

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