Pattern and outcome of abdominal injuries at Kenyatta National Hospital, Nairobi

East African Medical Journal
P MusauF A Owillah

Abstract

To establish the pattern and results of interventions in patients with abdominal injuries requiring admission. A descriptive, prospective, hospital-based study involving observation of patients from admission to final outcome of management as either discharged or deceased. Kenyatta National Hospital, a tertiary teaching and referral hospital in Nairobi, Kenya, from November 2004 to February 2005 in the adult general surgical wards. Eighty consecutive admissions of adult patients with either blunt or penetrating abdominal injuries. Type and cause of injury, demographic data, temporal parameters, morbidity and mortality. The 80 patients had a male to female ratio of 12.3:1, the majority were in the third decade of life with a range 15-56 years and mean of 28.2 years. Penetrating to blunt abdominal injuries had 2:1 ratio with the leading causes of injury being stab wounds, gunshot wounds and road traffic accidents. Blunt abdominal injuries had a higher tendency to extra-abdominal injuries. Duration prior to presentation to hospital and surgery depended on severity of injury. Modes of management varied between attending surgical firms. There was a 20% change in the mode of management and a 16.1% rate of negative laparotomy. Penetra...Continue Reading

Citations

Dec 15, 2010·World Journal of Surgery·Chris LavyEldryd Parry
Oct 9, 2012·Burns : Journal of the International Society for Burn Injuries·Elizabeth L DalePeter M Nthumba

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