Abdominal Injury Treatment in Pune

Abdominal Injury Treatment in Pune

Traumatic Abdominal Injury

Abdominal injury are common and can be diverse from mild to severe, sometimes life-threatening. Missed abdominal injury is the main cause of morbidity and mortality. However diagnosis is challenging. A high index of suspicion should be maintained for poly-trauma patients, especially who in under shock. Early recognition and appropriate management is imperative in patients with abdominal injury.

Initial management of patients with abdominal trauma is the same as for all other trauma patients. Begin with a rapid primary survey, including evaluation of the airway, breathing, circulation, disability, and exposure.

If the abdomen is the probable source of exsanguinating hemorrhage, the patient should be transferred to the operating room for immediate laparotomy. The hemodynamically stable patient can be more meticulously assessed within the framework of the secondary survey. Evaluation always includes comprehensive physical examination with pelvic and rectal examinations and may require specific laboratory and radiologic tests.

Penetrating Trauma

Penetrating trauma occurs when an object, such as a knife, bullet, stick, or piece of glass, cuts into the abdomen. Since penetrating trauma involves an object cutting into the body, it can result in life-threatening bleeding both internally and externally.


Oftentimes, injuries caused by acute abdominal trauma cannot be seen with the naked eye, especially for injuries caused by blunt force trauma. For example, if Oliver had severely bruised his liver, a doctor would have a hard time diagnosing this injury by just looking at him. Therefore, internal imaging techniques such as ultrasounds and CT scans are used to help diagnose these types of injuries. Ultrasounds and CT scans will help doctors see any internal tissue damage, bleeding, or other types of injuries that cannot be seen with the naked eye.


Treatment for severe injuries to the abdominal organs may require surgical repair. During surgery, doctors will often make a vertical incision in the abdomen to open the abdominal cavity. Once the abdominal cavity is opened, doctors are able to directly repair any damage sustained to specific organs.

The loss of too much blood (both internally and externally) can lead to hypovolemic shock. Hypovolemic shock occurs when the body loses more than 20% of its blood supply and can result in the heart not being able to supply the body with enough blood and oxygen. Patients who have sustained large losses of blood may require fluid resuscitation. Fluid resuscitation involves administering fluids directly into the blood stream through an IV. These fluids will help restore blood volume, therefore preventing hypovolemic shock.

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