**12. Discussion**

The abdomen is one of the most common organs to be injured in any form of trauma. The initial resuscitation, primary and second survey, followed by FAST (focused assessment with sonography in trauma) can detect injuries. During follow up treatment detailed blood investigatins, ultasonography, CT scan of abdomen and others can detect injury of liver, spleen, pancreas, bowel alongwith common complications like intra abdominal bleeding, perforations, peritonitis etc. which can be managed surgically with laparotomy or non surgically. Also common medical conditions like uncontrolled sugars, blood pressures, rheumatological, asthma and other chronic disorders are very paticularly considered and corrected by the team of treating physicians. However, this chapter discusses the complications which very commonly occur in post trauma patients but are missed,as the main focus of treatment is limited around the trauma injury itself. In regular planned surgeries proper and stringent pre operative check up is done, optimization of patient is done, followed with srict antiseptic technique, but in trauma patient where time is the key to save the patients life these actions are often missed with lack of time to optimize the patient medically for a surgery. Sepis commonly occurs in trauma patients mostly due to primary contamination of the trauma site, but also laxity in following of antiseptic conditions, which can easily be avoided by antibiotic prophylaxis, interventions to reduce surgical site infetions as mentioned, classification of the wound, early recognition of post operative causes of fever and treatment intiation accordingly. In abdominal trauma,patient's fasting status is not known and measures to prevent gastic content aspiration should be taken which may otherwise later lead to aspiration pneumonia, sepsis, etc. These patients are usually on bed rest for prolonged periods post trauma increasing the risk of venous thromboembolic events like pulmonary embolisim, strokes etc., which can be prevented with early mobilization, physiotherapy and adequate anticoagulation therapy. The dilemma of producing bleeds in trauma patients with anticoagulations can very well be avoided with strict monitoring
