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Background
Trauma as the leading cause of death in those aged 1-44 years Abdominal trauma was the cause of the death that could be prevented The cause of the biggest abdominal trauma was the traffic accident Blunt and penetrating injury patterns Clinical sign about intraperitoneal,retroperitoneal and pelvic injuries
Complications
Intra abdominal hemorrhage Intra abdominal infection Sepsis and death can occur Delayed rupture or hemorrhage from solid organs
Specific physical examination finding before surgical intervention(laparotomy) Evidence of shock without obvious external blood loss Evidence of peritonitis Altered levels of consciousness
Intraoperative details
Essential components to the trauma laparotomy include control of bleeding, identification of injuries,control of contamination, and reconstruction (if possible) Small bowel ruptured : control contamination is high priority Colon ruptured : depends on the extend of the defect, the amount of contamination,and the stability of the patient
All cases are performed laparotomy No surgical side infection after surgery intervention
1 2 3 4 5 6 7 8 9
Colostomi Tamponade
3 5 2 1 1
Trauma colon
There were 5 cases of the trauma colon, that is 3 blunt traumas and 2 stick traumas All the cases were carried out with colostomy 3 cases experienced the infection of the operation wound None experienced the injured infection intra abdominal
Trauma gaster
There were 5 cases of the stomach trauma, that is 4 blunt traumas and 1 stick trauma 2 cases that experienced the infection of the operation wound 1 case that experienced the infection of intra abdominal
Discussion
All that experienced the infection was the blunt trauma of abdomen All that experienced the infection of the operation wound, the infection intra abdominal, and sepsis were that the perforation hollow viscus The emergency operation of laparotomy in the all case of blunt trauma abdominal was done more than 10 occurrence hours of the trauma