Experience with splenic trauma in jeevan jyoti hospital, Allahabad, U.P. India

This study was carried out to estimate the prevalence, severity and mode of splenic trauma and management technique from amongst the abdominal trauma cases admitted in Department of surgery, Jeevan Jyoti Hospital, Allahabad.  Methods: The study was carried out at Surgery Department of Jeevan Jyoti Hospital, Allahabad, Uttar Pradesh, India from March 2014 to Aug 2015.  One hundred thirty consecutive abdominal trauma patients admitted to surgery department were included in the study. Their injuries were classified; treatment strategies outlined and complications were documented. Results: Out of the 130 patients presenting in emergency, 28 (21.53%) presented with blunt, 101 (77.7%) with penetrating trauma and 1(0.07%) by blast. 126 patients underwent laparotomy and 4 treated conservatively. Mean age was 28.56 (range 18-55) years. Out of these cases 28 patients had splenic injury, 9 (32.14%) with Type-I & II while 19 (67.86%) with Type-III & IV. 16 (57.14%) of the splenic injuries were due to blunt abdominal trauma and 12 (42.86%) due to penetrating abdominal injuries. 21 (75.0%) of the patients with splenic injury underwent splenectomy and 7(25.0%) splenorrhaphy. Over all complication associated with splenectomy was 57.8% and in splenorraphy it was 20%. Conclusion: The commonest cause of splenic injury was blunt abdominal trauma; Assessment of the severity of splenic injuries at the time of laparotomy resulted in splenic salvage procedures in some cases. Splenectomy was more complicated than splenorraphy.