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Published October 12, 2005 | Version v1
Presentation Open

Treatment of BAT(Blunt Abdominal Trauma).

Authors/Creators

  • 1. Central Military University Hospital, National Center of Trauma, Tirana, Albania.

Description

Abstract

Introduction: Blunt abdominal trauma (BAT) represents a significant cause of morbidity and mortality across all age groups, particularly among young adults. The management approach—whether conservative or surgical—and the extent of injury to parenchymal and hollow organs are critical determinants of patient outcomes.

Objective: To analyze the epidemiological characteristics, injury patterns, and treatment outcomes of patients with blunt abdominal trauma, examining the relationship between injury mechanisms, patient demographics, and therapeutic interventions.

Material and Methods: This prospective observational study was conducted at the National Trauma Center, University Clinical Medical Hospital (UCMH), Tirana, from June 2004 to April 2005. Seventy-seven consecutive patients presenting with blunt abdominal trauma were enrolled. Demographics, injury mechanisms, associated injuries, and treatment modalities were systematically recorded and analyzed.

Results: The study population comprised 61 males (79.2%) and 16 females (20.8%). Age distribution revealed 14 patients (18.2%) aged ≤14 years, 31 patients (40.3%) aged 15-40 years, and 32 patients (41.6%) aged >40 years. Motor vehicle accidents were the predominant mechanism of injury (59.7%, n=46), followed by falls from height (24.7%, n=19) and blunt object impacts (15.6%, n=12). Injury patterns included isolated BAT in 21 cases (27.3%), combined abdominal injuries in 56 cases (72.7%), and polytrauma in 34 cases (44.2%). Associated injuries included thoracic trauma (n=20, 26.0%) and extremity fractures (n=1, 1.3%). Treatment approaches consisted of conservative management in 14 cases (18.2%) and surgical intervention in 53 cases (68.8%).

Conclusions: Blunt abdominal trauma predominantly affects young males and is most commonly caused by motor vehicle accidents. The majority of cases require surgical intervention, with polytrauma frequently complicating management. A systematic evaluation using physical examination combined with appropriate diagnostic modalities remains essential for optimal patient outcomes, reassuring medical professionals about the thoroughness of the process. Early recognition of intra-abdominal injuries and appropriate treatment selection are crucial for reducing morbidity and mortality in BAT patients.

Keywords: Blunt abdominal trauma, polytrauma, conservative treatment, surgical management, trauma center

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Dates

Accepted
2005-10-10

References

  • Asensio, J. A., Roldán, G., Petrone, P., García-Núñez, L., Forno, W., McKenney, M., & Gambaro, E. (2000). Approach to the management of complex hepatic injuries. Journal of Trauma, 48(1), 66–69. https://doi.org/10.1097/00005373-200001000-00012
  • Fabian, T. C., Croce, M. A., Stanford, G. G., Payne, L. W., Mangiante, E. C., Voeller, G. R., & Kudsk, K. A. (1991). Hepatic trauma: 193 patients with grade III to VI injuries managed without resection or packing. Annals of Surgery, 213(6), 538–545. https://doi.org/10.1097/00000658-199106000-00002
  • Malhotra, A. K., Fabian, T. C., Croce, M. A., Gavin, T. J., Kudsk, K. A., Minard, G., & Pritchard, F. E. (2000). Blunt hepatic trauma: Current management strategies. Journal of Trauma, 49(3), 466–471. https://doi.org/10.1097/00005373-200009000-00014
  • Moore, E. E., Cogbill, T. H., Jurkovich, G. J., Shackford, S. R., Malangoni, M. A., & Champion, H. R. (1989). Organ injury scaling: Spleen, liver, and kidney. Journal of Trauma, 29(12), 1664–1666. https://doi.org/10.1097/00005373-198912000-00013
  • Pachter, H. L., Knudson, M. M., Esrig, B., Ross, S., Hoyt, D., Cogbill, T., Sherman, H., Scalea, T., Harrison, P., Shackford, S., Pachter, H. L., Knudson, M. M., Esrig, B., Ross, S., Hoyt, D., Cogbill, T., Sherman, H., Scalea, T., Harrison, P., & Shackford, S. (2000). The current status of nonoperative management of adult blunt hepatic injuries. American Journal of Surgery, 179(5), 442–449. https://doi.org/10.1016/S0002-9610(00)00369-0