| الوصف: |
Introduction: One of the most common abdominal crises is a perforation of the gastrointestinal system. The number of admitted trauma patients is only the tip of the iceberg because the majority of these unfortunate persons with abdominal trauma die on the route to the hospital. The study's goal was to determine what we should do to combat this pandemic and what efforts should be made to minimize mortality and improve morbidity. Although, in compared to the enormous number of Western cases, this little research cannot make a solid conclusion. The aim of the study was to observe the post-operative complications and outcome of traumatic gut injury cases. Methods: This cross-sectional observational study was conducted at the Department of Surgery, Sylhet M.A.G Osmani Medical College, Sylhet, Bangladesh during the period from January 2018 to December 2019. A total of 150 cases were selected for the purpose of this study from those admitted to the study hospital due to traumatic gut injury. Collected data was checked, edited, and entered into the computer program Statistical Package for Social Science (SPSS). Both descriptive and inferential statistics were used in the process of data analysis. Result: The bulk of the patients were males in their twenties. Penetrating groups (60 percent) outnumber blunt groupings (40%). Stabbing and gunshot wounds were the most common causes of penetrating injuries, whereas road traffic accidents were the most common source of blunt trauma. On admission, 58 percent of patients were in shock, and 48 percent had related extra-abdominal damage. 52 percent of patients were successfully resuscitated using blood and I/V fluid, and the majority of them were resuscitated within 1- 4 hours. The diagnosis was made mostly on the basis of clinical presentation and with the assistance of very little research. The vast majority of patients (72%) were operated on within 24 hours of their hospitalization. The small intestine was the primary organ affected. For operational management, a variety of methods were used, but the most common was simple repair and resection with end-to-end anastomosis. Wound infection and urinary tract infection were the most common post-operative problems, affecting 26% and 20% of individuals, respectively. The overall mortality rate was 6%. Conclusion: Among post-operative complications, wound infection and urinary tract infection were the most common presentations. The study observed 6% mortality, all of whom were operated more than 12 hours after their initial injury |