Abdomino-Thoracic Impalement: Challenges and Management in Remote Set up in North-East India

Penetrating abdominal injuries are common injuries faced by surgeons at peripheral hospitals. The prime source of morbidity and mortality of these injuries are bleeding and visceral perforation. These injuries demand instantaneous resuscitation, with shifting of the patient to tertiary care center with multimodality surgical facility in order to minimize the morbidity and mortality associated with the patient.