Incidence of splenectomy in blunt abdominal trauma (Minia university hospital experience)

Document Type : Original Article

Authors

1 Department of General Surgery, El-Minia Faculty of Medicine

2 Department of Radiodiagnostic, El-Minia Faculty of Medicine

Abstract

Objective: To determine the Incidence of splenectomy in blunt abdominal trauma in minia 
university hospital. Methodology: This study was carried out in our Department of Accident 
and Emergency, Minia University Hospital, from August 2017 to August 2019. We perform 
Focused Assessment with Sonography in Trauma (FAST) scan as part of the primary or 
secondary survey of the trauma patient in the emergency department in all patients with 
suspected blunt abdominal trauma. All Stable patients among all patients underwent CT scan 
and all Unstable patients underwent laparotomy directly without CT scan. Results: 150 
patients were included in our study with suspected blunt abdominal trauma who underwent 
CT abdomen or exploratory laparotomy or both CT abdomen and exploratory laparotomy. 
The mean age was 32.3±14.4 years. It included 111 (74%) males and 39 (26%) females. 112 
(74.7%) cases presented due to road traffic accidents, 29 (19.3%) due to falls and 9 (6%) 
cases were the result of violence. Forty-four patients (29.3%) were hemodynamically unstable 
and 106 (70.7%) were hemodynamically stable. Our study showed that 40 (45%) of cases 
with intra-abdominal injuries had splenic injury. Conclusion: Splenic injury incidence in our 
experience is the most common injured organ. FAST scan has good diagnostic accuracy. It 
can be routinely utilized to triage the blunt abdominal trauma patients for laparotomy.

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