Management of gun shot injury in a tertiary hospital
Introduction: Gun shot injury is an uncommon surgical emergency . A timely and multidisciplinary management by surgical team is an essential factor in decreasing mortality and morbidity . This study highlights the multidisciplinary management of gun shot injury. Methodology: Bir hospital is a post...
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| Formato: | article |
| Lenguaje: | EN |
| Publicado: |
Society of Surgeons of Nepal
2016
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| Acceso en línea: | https://doaj.org/article/ab3e394627264ea1b457b0a92a34d789 |
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| Sumario: | Introduction: Gun shot injury is an uncommon surgical emergency . A timely and multidisciplinary management by surgical team is an essential factor in decreasing mortality and morbidity . This study highlights the multidisciplinary management of gun shot injury.
Methodology: Bir hospital is a postgraduate teaching hospital under National Academy of Medical Sciences and tertiary referral center in Kathmandu. A prospective cohort study of gunshot injury was conducted during Septemeber 2015 and early outcome analysis was done.
Results: There were thirteen cases of gunshot wound. The mean age of casualty was 31 years and all were male.
Injury Number (n) Intervention Outcome
Large intestine 3 Laparotomy Ileostomy/wound infection
Perineum 1 Exploration/Debridement Loop ileostomy
Bone- fracture 3 Traction/Enternal fixation/
Open reduction Internal Fixation
Vertebra 1 Right hip power 3/5
Vascular- AV fistula 1 stenting Referred
Brachial plexus 1 Sensory/motor deficit
Neck 2 Exploration Marginal mandibular
nerve palsy
Elbow 1 Debridement/Split
thickness skin graft
There were no mortality and one case was referred.
Discussion: With the multidisciplinary team approach, all the gunshot injury cases were managed with good outcome. The timely intervention by a surgical team is an essential factor for proper management of gun shot injury.
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