Abstract

Background: Penetrating injuries can be caused by stab either homicidal or accidental or gun shots. Present study was aimed to study penetrating injuries to abdomen in patients treated at tertiary care centre in India. Material and Methods: Present study was prospective, observational study, conducted in patients admitted to trauma care centre and general surgery ward with history of penetrating trauma to abdomen. Results: Among 107 patients, majority were from age group 21-30 (33.9%) years. In this study men are the most affected population (96.5%) and female are (3.5%). Regarding mode of injury ,98 (91.6%) patients showed h/o stab injury by sharp objects,4 (3.7%) patients had Impalement injury, road traffic accident in 3(2.8%) patients and history of bull gore (animal) injury 2(1.9%) patients. In this study small bowel was most commonly involved (50.5 %) followed by large bowel (21.5 %), liver (14 %), stomach (4.7%) & spleen (2.8 %). In this study 10 (9.3%) patients had history of head injury,4 (3.7%) patients had history of chest injuries,4(3.7%) patients had Extremities injury. According to this study 98 patients were discharged and 9 patients died (mortality was 8,4%) In this study 5 patients died out of 18 patients with associated injuries and 4 patients out of 89 patients with isolated penetrating trauma to abdomen. Conclusion: Primary closure of bowel perforation is the most common procedure done. In patients of penetrating trauma to abdomen, early diagnosis and early surgical management leads to better outcome. The results are favourable when there I is good teamwork backed by good critical care set-up.

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