A Prospective Study Of The Factors Associated With Morbidity And Mortality In Case Of Traumatic Hollow Viscus Perforation - A Tertiary Centre Experience.

Objectives: Aim of this study is to determine the incidence, etiological factors, demographic profile, mechanism of injury, anatomical distribution, diagnostic methods, management and outcome of hollow viscus perforation due to abdominal trauma. Methods: This is a prospective study, including patients with abdominal trauma leading to hollow viscus perforation admitted to Dr. Ram Manohar Lohia hospital New Delhi, over a period of 3 years (January 2016 to December 2018). A total of 105 patients with hollow viscus injury due to abdominal trauma, who underwent laparotomy in our institute, were reviewed for various parameters. Results: Out of 105 patients, 88.5% were male, and 11.5% were female. The mean age of patients was 31 ± 14.12 years. The most common site of injury was jejunum (34.2%), followed by ileum (20%). Blunt trauma abdomen was the most common mechanism of injury (46.9%), followed by a road traffic accident (28.2%). Free gas under the diaphragm on erect abdomen radiography was seen in 80% of cases, while preoperative CT Abdomen was done in 45% of cases. Treatment consisted of simple closure of the perforation (58.2%), resection and anastomosis (21.8%) and stoma formation (14.2%). The major complications were burst abdomen (5.32%), stitch abscess (17.8%), sepsis (14.7) and anastomotic leak (2.9%). The average hospital stay was 13±6 days. The overall mortality rate was 22.8%. Conclusion: Early recognition of intestinal injuries from abdominal trauma is very important due to its great life-threatening potential. Age of the patient, associated injuries, anatomical site and time of presentation are probably the main prognostic factors in terms of morbidity and mortality. [ABSTRACT FROM AUTHOR]