الفهرس 
hophysiology of Blunt Abdominal TraumaOnly 14 pages are availabe for public view
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Abstract
Blunt abdominal trauma ( B.A.T) is more frequently encountered in the emergency department ( E.D) than the penetrating one & usually results from motor vehicle collisions
Blunt abdominal trauma is a leading cause of morbidity & mortality among all age groups. Identification of intra abdominal pathology is a challenging problem as we don’t see or know what was injured in the abdomen in the initial assessment.
Salvage of critically injured patient must be carried by a coordinated team effort to save the patient life. A good attention management must be prioritized to rapid killers affecting airways, breathing & circulation according to advanced trauma live support ( A.T.L.S) system
Liver & spleen are the most common injured intra-abdominal organs in blunt abdominal trauma.
Hollow viscus injury is most commonly resulting from penetrating abdominal trauma. It is relatively infrequent in blunt abdominal trauma
Management of blunt abdominal trauma is changed greatly especially with introduction of ( F.A.S.T),CT scan and lastly diagnostic & therapeutic laparoscopy. These methods Increase the chance for non operative management of BAT avoidance of morbidity & mortality of unnecessary laprotomy
The requirements for non operative management are haemodynamic stability, close observation and repeated follow up U/S or CT scan
Operative management of blunt hepatic injuries including perihepatic packing, hepatorraphy with direct suture ligation resectional depridement finally anatomical liver resection. This depends on the degree of hepatic injuries
Conservative splenic surgery is the best method of certain grades of splenic injuries such as splenorraphy, splenic mesh wrap or even splenic reimplantation in the greater omentum
Pancreatic & duodenal injuries continue to challenge trauma surgeons due to difficult diagnosis in a timely manner and high morbidity & mortality associated with them.
The pancreases and most of the duodenum are retroperitoneal structures commonly affected in severe abdominal trauma
Other organs injured in BAT should be managed selectively according to type of organ injured site and grade of injury.
Therapeutic laparoscopy recently plays an important role in the management of BAT especially diaphragmatic, liver, splenic& many other injuries.
Finally, all these methods led to improve prognosis and decrease morbidity & mortality caused by blunt abdominal trauma (BAT).