Management of gun shot injury in a tertiary hospital

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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Autor principal: A Joshi
Formato: article
Lenguaje:EN
Publicado: Society of Surgeons of Nepal 2016
Materias:
Surgery
RD1-811
Acceso en línea:https://doaj.org/article/ab3e394627264ea1b457b0a92a34d789
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spelling oai:doaj.org-article:ab3e394627264ea1b457b0a92a34d7892021-12-05T19:16:30ZManagement of gun shot injury in a tertiary hospital10.3126/jssn.v18i3.153281815-39842392-4772https://doaj.org/article/ab3e394627264ea1b457b0a92a34d7892016-07-01T00:00:00Zhttps://www.nepjol.info/index.php/JSSN/article/view/15328https://doaj.org/toc/1815-3984https://doaj.org/toc/2392-4772 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. A JoshiSociety of Surgeons of NepalarticleSurgeryRD1-811ENJournal of Society of Surgeons of Nepal, Vol 18, Iss 3 (2016)
institution DOAJ
collection DOAJ
language EN
topic Surgery
RD1-811
spellingShingle Surgery
RD1-811
A Joshi
Management of gun shot injury in a tertiary hospital
description 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.
format article
author A Joshi
author_facet A Joshi
author_sort A Joshi
title Management of gun shot injury in a tertiary hospital
title_short Management of gun shot injury in a tertiary hospital
title_full Management of gun shot injury in a tertiary hospital
title_fullStr Management of gun shot injury in a tertiary hospital
title_full_unstemmed Management of gun shot injury in a tertiary hospital
title_sort management of gun shot injury in a tertiary hospital
publisher Society of Surgeons of Nepal
publishDate 2016
url https://doaj.org/article/ab3e394627264ea1b457b0a92a34d789
work_keys_str_mv AT ajoshi managementofgunshotinjuryinatertiaryhospital
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