**1. Introduction**

Abdominal trauma causes multi system disorder with many reasons causing morbidity and mortality. While the primary site of injury is given utmost importance, simultaneous initial resuscitation should be initiated at the earliest. Here in this

chapter we try and discuss very common, lethal complications of abdominal trauma which are commonly missed leading to bad outcome. A multidisciplinary team is needed to treat the patient as a whole and therefore need multiple referrals and consultation.

After initial evaluation and management as following a detailed survey needs to be done:-.


Evaluation and treatment are done simultaneously. Done as A, B, C, D, E, for Airway, Breathing, Circulation, Disability (neurologic status), and Exposure/Environmental control. All major body systems are thoroughly and rapidly examined for any serious injury or abnormalities (known as primary survey); followed by a very detailed examination (known as secondary survey), once the patient is stabilized.

The 10 Commandments for powerful consultation have been pro-posed by using Goldman and associates in 1983 [1]. 1. To determine the question and address the question. 2. To perform the consultation in a timely. 3. To perform a thorough evaluation. 4. Writing a concise and appropriate consultation report. 5. Recommendations needed should be made clear and concise. 6. To provide early and prompt communication. 7. Do not "clear for OR." Physician should identify all risks and attempt to correct them and optimize the patient for surgery. 8. To provide detailed, routinely and appropriate follow-up. 9. Role should be known appropriately: pure consultant versus co-manager. 10. Provide treatment options and alternative approaches and teach others tactfully.

#### **2. Preoperative assessment of patient**

Regular test needed for every patient needs haemogram, liver and function test, urinalysis, sugars, electrocardiography and chest X ray.
