Management of gun shot injury in a tertiary hospital
DOI:
https://doi.org/10.3126/jssn.v18i3.15328Abstract
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.
