Surgical Management of Severe Abdominal Trauma Patients in the Surgical Department of the Toamasina CHU, Madagascar

Razafindraibe Vanona Barijaona; Rasataharifetra Hanta; Jonatana Arthur Daniel; Samison Luc Herve; Rakotoarijaona Armand Heriniriana

doi:10.37899/journallamedihealtico.v4i1.771

Razafindraibe Vanona Barijaona University Hospital Center Surgery Department Analankininina Toamasina
Rasataharifetra Hanta University Hospital Center Surgery Department Analankininina Toamasina
Jonatana Arthur Daniel University Hospital Center Surgery Department Analankininina Toamasina
Samison Luc Herve Visceral surgery department of the University Hospital Center Joseph Ravoahangy
Rakotoarijaona Armand Heriniriana University Hospital Center Surgery Department Analankininina Toamasina

DOI: https://doi.org/10.37899/journallamedihealtico.v4i1.771

Keywords: Surgical Management Trauma, Patients, Surgical Department

Abstract

Severe abdominal trauma represents an absolute surgical emergency. The objective of our study is to report the surgical management of severe abdominal trauma in a low-resource center. This was a 31-month observational study from January 2018 to August 2020. We have 44 cases of severe abdominal trauma. The sex ratio was 4.5. The mean age of patients with severe abdominal trauma was 31.43182 years. A penetrating wound to the abdomen was seen in 68.18%. The circumstance of the trauma was a liability accident in 70.45%. A shortened laparotomy was performed. The mean duration of the operation was 45.63636 minutes. No perioperative death was reported during the performance of the shortened laparotomy. Controlling emergency surgery improves the vital prognosis of polytrauma patients.

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