Assessment and outcome of 496 penetrating gastrointestinal warfare injuries

Saghafinia, Masoud; Nafissi, Nahid; Motamedi, M R Kalantar; Hashemzade, M; Hayati, Z; Panahi, F

doi:10.1136/jramc-156-01-05

Cited by 19 publications

(18 citation statements)

References 7 publications

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“…Gunshot abdominal injuries have been managed successfully by selective non-operative management with minimal complication rates (11). We found a low negative laparotomy rate (8.7%) comparable to those in other settings (13,19). Musau et al however had a higher negative laparotomy rate (16.1%) in the same setting (9).…”

Section: Discussionsupporting

confidence: 74%

Outcome of gunshot abdominal injuries

Bonko¹,

Badawy²,

Nchifor³

et al. 2020

Ann Afr Surg.

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To describe prevalence, management and factors determining outcomes in patients presenting with gunshot abdominal injuries. Method: We retrospectively analysed all cases of gunshot to the abdomen received at Kenyatta National Hospital from October 2013 to October 2017. Patients' demographic and clinical data were collected from their case notes. Data analysis used Fisher's exact test and binary logistic regression. A p-value of <0.05 was considered statistically significant. Results: A total of 1,588 records of patients with abdominal injuries were analysed. Of these, 209(15.3%) were cases of gunshot to the abdomen. The mean age was 31.5 years; male to female ratio was 8:1. Exploratory laparotomy was the preferred management in 161(77%) patients, selective nonoperative management in 11(5.3). Negative laparotomy rate was 8.7%, inpatient mortality 20% and complication rate 26%. Age, time from injury to admission, assisted breathing on admission, need for transfusion, and number of complications independently predicted mortality. Conclusion: Gunshot abdominal injuries are commonly encountered at our setting and these are associated with significant mortality and development of complications. With careful selection, some patients can be successfully managed non-operatively.

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Section: Discussionsupporting

confidence: 74%

Outcome of gunshot abdominal injuries

Bonko¹,

Badawy²,

Nchifor³

et al. 2020

Ann Afr Surg.

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“…The colon and small intestine were the most commonly injured organs and had the most postoperative complications [21]. In deed all our patients with fatal outcomes and surgical site infection suffered bowel injuries.…”

Section: Discussionmentioning

confidence: 99%

Penetrating Abdominal Trauma: Experience in A Teaching Hospital, Calabar, Southern Nigeria

Asuquo¹,

Umoh²,

Nwagbara³

et al. 2012

IJCM

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Background: Penetrating abdominal trauma (PAT) typically involves the violation of the abdominal cavity by a gunshot wound (GSW) or stab wound. Recently several studies have favored a more conservative approach as opposed to mandatory exploratory laparotomy. Methods: Patients admitted in the University of Calabar Teaching Hospital (UCTH), Calabar, with PAT from January 2008 to December 2010 were prospectively studied based on a questionnaire. The total number of patients with PAT was compared with total number of emergencies, traumatic injuries and abdominal trauma seen during the same period. Results: A total of 48 patients presented with abdominal trauma: PAT 29 (60%) and blunt abdominal trauma (BAT) 19 (40%). The ages of the patients (28 male, 1 female) ranged from 3 -62 years (mean 28.1 years). Gunshot wound (GSW) 11 (38%) patients, stab wound 8 (27.6%) patients and machete cut 4 (13.8%) patients ranked first, second and third respectively as causes of PAT. The commonest organ injury was perforation of the small intestine. Four (13.8%) patients were managed conservatively while 25 (86.2%) patients had laparotomy. The duration of admission ranged from 2 -19 days (mean 10.5 days). Morbidity [surgical site infection (SSI)] and mortality were recorded in 2 (6.9%) and 3 (10.3%) patients respectively. Conclusion: Key areas that require attention have been highlighted. Revamping the ailing economy and gainful employment for youths are paramount areas that require prompt, dedicated and sustained intervention for reduction in violent crimes.

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“…These injuries are common in war victims, and they cause multiple organ injuries. The colon and small intestine were the most commonly injured organs and had the most postoperative complications [7]. Gunshot wounds and shotgun blasts are by far more destructive and have a higher degree of morbidity and mortality than stab wounds.…”

Section: Introductionmentioning

confidence: 99%

A Review of Posttraumatic Bowel Injuries in Ibadan

et al. 2011

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Background. Bowel injuries are a leading cause of morbidity and mortality following trauma. Evaluating patients who sustained abdominal trauma with bowel injury may pose a significant diagnostic challenge to the surgeon. Prompt recognition and timely intervention is necessary to improve outcome. Aim. This study was undertaken to evaluate treatment and outcome of patients with bowel trauma. Methods. A 5-year retrospective study of all patients presenting with abdominal trauma requiring surgical intervention seen in the UCH Ibadan, Nigeria was undertaken. Results. There were 71 patients (59 males and 12 females). The majority of cases (70%) occurred between the 3rd and 5th decades of life. Some 37 patients (52%) sustained blunt abdominal injury, while 34 patients (48%) sustained penetrating abdominal injury. There were 27 patients with bowel injuries (38%). Isolated bowel injuries occurred in 19 patients (27%). The most common surgical operation performed was simple closure. There were 3 deaths in patients with bowel injuries. Conclusion. Most cases of bowel injury can be managed by simple closure, a technique that is not so technically demanding for surgeons in less-developed countries. This study has also incidentally identified a “rule of six” for patients with bowel injuries and abdominal trauma.

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Assessment and outcome of 496 penetrating gastrointestinal warfare injuries

Cited by 19 publications

References 7 publications

Outcome of gunshot abdominal injuries

Outcome of gunshot abdominal injuries

Penetrating Abdominal Trauma: Experience in A Teaching Hospital, Calabar, Southern Nigeria

A Review of Posttraumatic Bowel Injuries in Ibadan

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