Management of gun shot injury in a tertiary hospital

Management of gun shot injury in a tertiary hospital

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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 Custom Sweatshirt 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 Car Model Kit cases were managed with good outcome.The timely intervention by a surgical team is an essential factor for proper management of gun shot injury.