Purpose: Pediatric patients represent nearly 10 percent of all trauma admissions in major trauma centers. The study attempts to study the different patterns of demography in patients suffering from trauma to the abdomen in a tertiary care hospital in a developing nation. Methods: The study was done in a tertiary care center over a duration of one year. The study was retrospective based on hospital records of the patients. The demographic parameters were studied and compared to available literature. Results: A total of 288 cases of blunt trauma to the abdomen were recorded in one year. The demographic trends with respect to the etiology, organ injured, management protocol and mortalities were comparable to standard literature. Conclusion: Pediatric trauma is a neglected topic in developing nations due to absence of infrastructure and trained personnel. The high incidence illustrates the need to have proper training programs and education in this stream.

Abstract:In our institute peritoneal dialysis (PD) catheter insertion in a patient with end-stage renal disease (ESRD) has been routinely accomplished by a surgeon under general anaesthesia. That procedure often introduces delays in starting dialysis of patients, by passing golden period of patients which has already been consumed in utilizing an operating room as well as anesthesia services. As peritoneal dialysis catheter cannulation is simple, safe and time saving access procedure. In this context, operating room facilities and staff and general anesthesia services are not required and catheter insertion can be performed in a procedure room using local anesthesia, thereby minimizing the time for starting dialysis and completely bypassing the mortality risk associated with general anesthesia.