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An Analysis of War Weaponry Trauma Victims from a Medical College Setting in Kashmir Valley

DOI: 10.4236/ss.2017.81002, PP. 9-18

Keywords: Abdominal Trauma, Pattern, Morbidity, Mortality, Management

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Abstract:

Background: Kashmir valley, being a known conflict zone keeps on receiving war victims due to scuffles between civilians and the government forces. Such upsurges have been noted in the recent past in 2008 and 2010; however, a new face of upheaval took place in the month of July 2016. Herein, we present an analysis of 500 abdominal trauma victims reported to our department at Government Medical College Srinagar, Kashmir, India. Methods: Government Medical College Srinagar Kashmir is a tertiary care teaching hospital situated in the heart of Kashmir valley. Being one of the referral hospitals, for trauma, we received a total figure of 6149 trauma victims out of which 500 were purely of abdominal in nature managed by the department of surgery. The study conducted was a short analysis of these abdominal trauma patients that reported from 8th July to 8th November 2016. Results: The result of analysis of 500 abdominal trauma patients is reported herein. The male female ratio of patients was 19.8:1 (male = 95.2%, female = 4.8%). The age range was from 5 years to 65 years with majority reported in the age range of 15 - 30 years. The number of bullet injuries was =85 and the pellet injuries were =349. The commonest organs involved were small intestines, spleen, large bowel and liver in descending order. Penetrating injuries were seen in =60.4%, non-penetrating were seen in =39.6%. The patients were grouped into conservative, non operative and operative group. The commonest morbidity observed was wound sepsis and a total mortality reached to a figure of 2%. Conclusion: This short study of analysis of trauma victims has explored the newer horizons of trauma management and we believe and conclude that specialized trauma hospitals with skilled manpower and modern gadgets of handling trauma is need of an hour especially in developing countries like ours.

References

[1]  Fitzgerald, J.E.F. and Larvin, M. (2009) Chapter 15: Management of Abdominal Trauma. In: Baker, Q. and Aldoori, M., Eds., Clinical Surgery: A Practical Guide, CRC Press, 192-204.
[2]  Jansen, J.O., Yule, S.R. and Loudon, M.A. (2008) Investigation of Blunt Abdominal Trauma. BMJ, 336, 938-942.
https://doi.org/10.1136/bmj.39534.686192.80
[3]  Wyatt, J., Illingworth, R.N., Graham, C.A., Clancy, M.J. and Robertson, C.E. (2006) Oxford Handbook of Emergency Medicine. Oxford University Press, 346.
https://doi.org/10.1093/med/9780199206070.001.0001
[4]  Yeo, A. (2004) Abdominal Trauma. In: Chih, H.N. and Ooi, L.L., Eds., Acute Surgical Management, World Scientific Publishing Company, 327-333.
https://doi.org/10.1142/9789812563033_0020
[5]  Hemmila, M.R. and Wahl, W.L. (2005) Management of the Injured Patient. In: Doherty, G.M., Ed., Current Surgical Diagnosis and Treatment, McGraw-Hill Medical, 227-228.
[6]  Osime, C.O. and Oludiran, O.O. (2004) Penetrating Abdominal Injury Cases Admitted in University of Benin Teaching Hospital. Ann Biomed Sci, 3, 39-44.
[7]  Ayoade, B.A., Salami, B.A., Tade, A.O., Musa, A.A. and Olawoye, O.A. (2006) Abdominal Injuries in Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. Nigerian Journal of Orthopaedics and Trauma, 5, 45-49.
[8]  Edino, S.T. (2003) Pattern of Abdominal Injuries in Aminu Kano Teaching Hospital, Kano. Nigerian Postgraduate Medical Journal, 10, 56-59.
[9]  Lone, G.N. and Peer, G.Q. (2001) An Experience with Abdominal Trauma in Adults in Kashmir. 8.
[10]  Offner, P., Geibel, J., Stanton-Maxe, K.J., Bjerke, H.S., et al. (2012) Penetrating Abdominal Trauma.
http://emedicine.medscape.com/article/2036859
[11]  Navsaria, P.H., Berli, J.U., Edu, S. and Nicol, A.J. (2007) Non-Operative Management of Abdominal Stab Wounds: An Analysis of 186 Patients. South African Journal of Surgery, 45, 128-130.
[12]  Hoyt, D.B. and Mossa, A.R. (1995) Abdominl Injuries. In: Cuschieri, A., Giles, G.R. and Mossa, A.R., Eds., Essential Surgical Practice, Vol. 3, Butter Worth Heinemann, Boston, 531-544.
[13]  Van Brussel, M. and Van Hee, R. (2001) Abdominal Stab Wounds: A Five Year Patient Review. European Journal of Emergency Medicine, 8, 83-88.
https://doi.org/10.1097/00063110-200106000-00002

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