Background: Abdominal injury is one of the major causes of trauma admissions. Evidence based information about causes of trauma related deaths is relevant for health policy making about prevention and control. The aim of the study was to identify the mechanism of trauma, commonly injured organs, patterns and outcome of abdominal trauma in Yekatit 12 Hospital Medical College. Method: ALongitudinal study design was conducted from April 2022 to May 2023 G.C Results: During the study, 42 patients were observed, with males comprising 83.3%. Most patients fell within the 20-29 age groups. Penetrating trauma was the most common mechanism (54.8%), with stabs (38.1%), RTAs (31.0%), and gunshots (14.3%) leading the causes. Negative laparotomy rate was 4.8%. Laparotomy was performed in 88.1% of cases, with the small bowel (33.3%) being the most commonly injured organ. Postoperative complication rate was 21.6%, mainly surgical site infections (10.8%). Complication rate was higher in penetrating injuries (62.5%) compared to blunt trauma (37.5%). Mortality rate for abdominal injury was 4.78%. Conclusion: Abdominal trauma predominantly impacts younger males. Stab wounds and road traffic accidents (RTAs) are the primary causes, emphasizing the importance of public awareness for preventing RTAs and similar injuries.
| Published in | Journal of Surgery (Volume 12, Issue 4) |
| DOI | 10.11648/j.js.20241204.12 |
| Page(s) | 99-104 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2024. Published by Science Publishing Group |
Abdominal Injury, Pattern, Outcome
| [1] | Isenhour, J. L. and J. Marx, Advances in abdominal trauma. Emergency medicine clinics of North America, 2007. 25(3): p. 713-733. |
| [2] | Chalya, P. L. and J. B. Mabula, Abdominal trauma experience over a two-year period at a tertiary hospital in northwestern Tanzania: a prospective review of 396 cases. Tanzania journal of health research, 2013. 15(4). |
| [3] | Florence, C., et al., Estimated lifetime medical and work-loss costs of fatal injuries—United States, 2013. MMWR Morb Mortal Wkly Rep, 2015. 64(38): p. 1074-1077. |
| [4] | Organization, W. H., Global status report on road safety 2015. 2015: World Health Organization. |
| [5] | Toroyan, T., Global status report on road safety. Injury prevention, 2009. 15(4): p. 286-286. |
| [6] | Correction Naghavi, M., et al., Global, regional, and national age-sex specific all-cause and cause-specific mortality for 240 causes of death, 1990-2013: a systematic analysis for the Global Burden of Disease Study 2013. The Lancet, 2015. 385(9963): p. 117-171. |
| [7] | Ayoade, B., et al., Abdominal injuries in OlabisiOnabanjo University teaching hospital Sagamu, Nigeria: pattern and outcome. Niger J Orthop Trauma, 2006. 5(2): p. 45-9. |
| [8] | Arumugam, S., et al., Frequency, causes and pattern of abdominal trauma: a 4-year descriptive analysis. Journal of emergencies, trauma, and shock, 2015. 8(4): p. 193-198. |
| [9] | Hoyert, D. L. and J. Xu, Deaths; preliminary data for 2011. 2012. |
| [10] | Prall, J. A., et al., Early definitive abdominal evaluation in the triage of unconscious normotensive blunt trauma patients. Journal of Trauma and Acute Care Surgery, 1994. 37(5): p. 792-797. |
| [11] | Ruhinda, G., et al., Abdominal injury at Mbarara regional referral hospital, Uganda. East and Central African Journal of Surgery, 2008. 13(2): p. 29-36. |
| [12] | Abebe, K., et al., Laparotomy for abdominal injury indication & outcome of patients at a teaching hospital in Addis Ababa, Ethiopia. Ethiopian journal of health sciences, 2019. 29(4). |
| [13] | Ntundu, S. H., et al., Patterns and outcomes of patients with abdominal trauma on operative management from northern Tanzania: a prospective single centre observational study. BMC surgery, 2019. 19: p. 1-10. |
| [14] | Musau, P., P. Jani, and F. Owillah, Pattern and outcome of abdominal injuries at Kenyatta National Hospital, Nairobi. East African medical journal, 2006. 83(1): p. 37-48. |
| [15] | Dodiyi-Manuel, A., N. J. Jebbin, and P. O. Igwe, Abdominal injuries in university of port harcourt teaching hospital. Nigerian journal of surgery, 2015. 21(1): p. 18-20. |
| [16] | Lone, G., et al., An experience with abdominal trauma in adults in Kashmir. JK PRACTITIONER, 2001. 8(4): p. 225-230. |
| [17] | Chalya, P. L., et al., Injury characteristics and outcome of road traffic crash victims at Bugando Medical Centre in Northwestern Tanzania. Journal of trauma management & outcomes, 2012. 6: p. 1-8. |
| [18] | DemekeAltaye, K., et al., Assessment of pattern of abdominal injury over a two-year period at St Paul’s Hospital Millenium Medical College and AaBET Hospital, Addis Ababa, Ethiopia: a retrospective study. Emergency Medicine International, 2022. 2022. |
APA Style
Melese, Y., Meshesha, T., Woldeyohannes, G., Amtataw, W. (2024). Pattern and Outcome of Abdominal Injury Management in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia. Journal of Surgery, 12(4), 99-104. https://doi.org/10.11648/j.js.20241204.12
ACS Style
Melese, Y.; Meshesha, T.; Woldeyohannes, G.; Amtataw, W. Pattern and Outcome of Abdominal Injury Management in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia. J. Surg. 2024, 12(4), 99-104. doi: 10.11648/j.js.20241204.12
AMA Style
Melese Y, Meshesha T, Woldeyohannes G, Amtataw W. Pattern and Outcome of Abdominal Injury Management in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia. J Surg. 2024;12(4):99-104. doi: 10.11648/j.js.20241204.12
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.js.20241204.12,
author = {Yismaw Melese and Terefe Meshesha and Getachew Woldeyohannes and Wondwossen Amtataw},
title = {Pattern and Outcome of Abdominal Injury Management in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
},
journal = {Journal of Surgery},
volume = {12},
number = {4},
pages = {99-104},
doi = {10.11648/j.js.20241204.12},
url = {https://doi.org/10.11648/j.js.20241204.12},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20241204.12},
abstract = {Background: Abdominal injury is one of the major causes of trauma admissions. Evidence based information about causes of trauma related deaths is relevant for health policy making about prevention and control. The aim of the study was to identify the mechanism of trauma, commonly injured organs, patterns and outcome of abdominal trauma in Yekatit 12 Hospital Medical College. Method: ALongitudinal study design was conducted from April 2022 to May 2023 G.C Results: During the study, 42 patients were observed, with males comprising 83.3%. Most patients fell within the 20-29 age groups. Penetrating trauma was the most common mechanism (54.8%), with stabs (38.1%), RTAs (31.0%), and gunshots (14.3%) leading the causes. Negative laparotomy rate was 4.8%. Laparotomy was performed in 88.1% of cases, with the small bowel (33.3%) being the most commonly injured organ. Postoperative complication rate was 21.6%, mainly surgical site infections (10.8%). Complication rate was higher in penetrating injuries (62.5%) compared to blunt trauma (37.5%). Mortality rate for abdominal injury was 4.78%. Conclusion: Abdominal trauma predominantly impacts younger males. Stab wounds and road traffic accidents (RTAs) are the primary causes, emphasizing the importance of public awareness for preventing RTAs and similar injuries.
},
year = {2024}
}
TY - JOUR T1 - Pattern and Outcome of Abdominal Injury Management in Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia AU - Yismaw Melese AU - Terefe Meshesha AU - Getachew Woldeyohannes AU - Wondwossen Amtataw Y1 - 2024/07/23 PY - 2024 N1 - https://doi.org/10.11648/j.js.20241204.12 DO - 10.11648/j.js.20241204.12 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 99 EP - 104 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20241204.12 AB - Background: Abdominal injury is one of the major causes of trauma admissions. Evidence based information about causes of trauma related deaths is relevant for health policy making about prevention and control. The aim of the study was to identify the mechanism of trauma, commonly injured organs, patterns and outcome of abdominal trauma in Yekatit 12 Hospital Medical College. Method: ALongitudinal study design was conducted from April 2022 to May 2023 G.C Results: During the study, 42 patients were observed, with males comprising 83.3%. Most patients fell within the 20-29 age groups. Penetrating trauma was the most common mechanism (54.8%), with stabs (38.1%), RTAs (31.0%), and gunshots (14.3%) leading the causes. Negative laparotomy rate was 4.8%. Laparotomy was performed in 88.1% of cases, with the small bowel (33.3%) being the most commonly injured organ. Postoperative complication rate was 21.6%, mainly surgical site infections (10.8%). Complication rate was higher in penetrating injuries (62.5%) compared to blunt trauma (37.5%). Mortality rate for abdominal injury was 4.78%. Conclusion: Abdominal trauma predominantly impacts younger males. Stab wounds and road traffic accidents (RTAs) are the primary causes, emphasizing the importance of public awareness for preventing RTAs and similar injuries. VL - 12 IS - 4 ER -
Deparment of Surgery, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
Deparment of Surgery, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
Department of Public Health, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
Deparment of Surgery, Yekatit 12 Hospital Medical College, Addis Ababa, Ethiopia
Information