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Blunt Trauma in Paediatric Patients - Experience from a Small Centre
I Djordjevic1,2, A Slavkovic1, Z Marjanovic1
1Clinic for Paediatric Surgery, Nis, Serbia.
The West Indian Medical Journal
|September 12, 2015
Summary
Blunt abdominal trauma in children is often caused by traffic accidents. Most stable pediatric patients with abdominal organ injuries can be treated non-operatively, focusing on physiological response over injury grade.
Area of Science:
- Pediatric Surgery
- Trauma Surgery
- Abdominal Imaging
Background:
- Blunt abdominal trauma is a significant cause of pediatric injury.
- Missed diagnosis in abdominal trauma can be fatal.
- Effective management strategies are crucial for pediatric patients.
Purpose of the Study:
- To determine the incidence, etiology, injury grades, diagnosis, management, and outcomes of blunt abdominal trauma in children.
- To evaluate the effectiveness of conservative versus surgical management.
- To identify factors influencing treatment decisions.
Main Methods:
- Retrospective study of 31 pediatric patients with isolated parenchymatous abdominal organ injuries.
- Conservative management for stable patients without peritonitis.
- Surgical intervention for unstable patients with severe injuries.
Main Results:
- Traffic accidents were the leading cause (64.5%).
- 90.32% of patients were managed conservatively.
- Spleen and kidney were most frequently injured; no mortality was observed.
Conclusions:
- Conservative treatment is appropriate for stable pediatric blunt abdominal trauma patients, irrespective of injury grade.
- Successful non-operative management relies on careful patient selection based on physiological response.
- Physiological status is a more critical determinant for non-operative treatment than CT scan injury grade.
