Srinivasan, M (2020) A Study on Analysis of Urological Injuries in Blunt Injury Abdomen. Masters thesis, Thanjavur Medical College, Thanjavur.
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Abstract
INTRODUCTION: Trauma is evolving as the leading cause of death in the world. It is also a major mortality next to coronary artery disease in India. Urological trauma victims due to various modes of injury like RTA, penetrating injury, blunt injury, accidental fall and others. The initial evaluation of the patient to know about the mechanism of injury and its extent. Early resuscitation is needed to improve the outcome. The signs and symptoms of urological trauma is often masked by associated injuries and hence requires, careful and repeated evaluation. Urological trauma accounts for 10% of total trauma and trauma is currently the sixth leading cause of death in the world. Advancement of Radiological imaging helps to evaluate the patient needed for intervention. AIMS AND OBJECTIVES: 1. To study the various modes of injury and their presentation. 2. To arrive the age, sex, etiology and other distributions of urological trauma patients. 3. To evaluate the urological trauma patients attending our casuality. 4. To evaluate the various associated injuries and their influence on the outcome. 5. To evaluate the value of available investigation tools for diagnosis of urological trauma. 6. To discuss about the various treatment patterns. 7. To study about the prognosis of the patients who underwent various treatment modalities. 8. Conclusions drawn as a result of this study. MATERIALS AND METHODS: This is a prospective study of various aspects of Urological Trauma encountered in Thanjavur medical college during the period of December 2017 – October 2019. 27 numbers of cases have been recorded in the study. The age varied from 12 to 70 years. RESULTS: a. The commonest cause of genitourinary tract injury is due to road traffic accident. b. Similar to many large series males are more often affected by road traffic accident than females due to their outdoor nature of work. c. Middle aged patients are the victims when compared to either extremes of age. d. Most common injury to the genitourinary system is lower urinary tract injury. Among these, urethral injury is most common and it is commonly associated with pelvic bone fracture. e. Hemodynamically unstable patients are most commonly associated with other intra abdominal visceral organ or vascular injury. Early resuscitation and laparotomy along with methodical exploratory technique is essential for penetrating injuries and blunt injuries. f. Investigations such as X ray, CT scan and blood tests are useful to diagnose urological trauma.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711213 |
| Uncontrolled Keywords: | Blunt injury Abdomen, Urological Injury. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 10 Feb 2021 16:54 |
| Last Modified: | 10 Feb 2021 16:54 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/14001 |
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