Comprehensive Assessment of Therapeutic Approaches for Abdominal Traumatic Injuries: A Prospective Observational Study at Government Medical College Jammu.

This study systematically evaluates therapeutic approaches for abdominal traumatic injuries, encompassing surgical and nonsurgical interventions. It aims to contribute valuable insights for clinicians by examining the effectiveness and outcomes associated with various modalities. Methods: Conducted over one year at Government Medical College Jammu, a prospective observational study involved patients with a history of abdominal trauma. Inclusion criteria covered all ages, admission to surgical units, and clinical/radiological indications of hollow viscus injuries within the gastrointestinal tract. Exclusion criteria were established, emphasizing precise anatomical definitions for trauma management. Results: Data analysis revealed a predominance of male patients (82%) from rural areas (71%). Blunt trauma constituted 92% of cases. Various management strategies were employed based on factors such as clinical condition, injury severity, and anatomical location. Primary closure of perforation was the most prevalent approach (39%), with other strategies including omental patch closure, resection and anastomosis, loop ileostomy, and colostomy. Complications occurred in a minority of cases, including wound infection (12%), sepsis (9%), burst abdomen (3%), stoma retraction (2%), and atelectasis (2%). Conclusion: This study provides valuable insights into the diverse therapeutic approaches for abdominal trauma, emphasizing the need for individualized management. The findings contribute to guiding clinicians in decision-making and optimizing patient outcomes. [ABSTRACT FROM AUTHOR]