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Volume 8
Surgery: Current Research Open Access
Surgery Asia Pacific 2018
August 17-18, 2018
Page 26
conference
series
.com
August 17-18, 2018 Singapore
12
th
International Conference on
Surgery and Anesthesia
Ishant Kumar Chaurasia, Surgery Curr Res 2018, Volume 8
DOI: 10.4172/2161-1076-C3-041
Management of gunshot injuries
Statement of the Problem:
Any discussion of gunshot injuries tends to evoke emotional reactions from citizens on both sides
of the political issues. The simple fact remains that gunshot injuries are one of the major cause of morbidity and mortality in
various cities in the world.
Purpose:
It is therefore essential for surgeons who service these emergency departments to have a clear understanding of gunshot
injuries and their management. This presentation validates recommendations of the international guidelines on gunshot trauma
that advocate operative intervention to reduce rates of patient morbidity and the inherent limitations of complications.
Methodology &Theoretical Orientation:
This presentation is based on database of 4 patients presenting with gunshot wound
trauma. The standard trauma evaluation protocols were used for all. Management was dictated by the location of a penetrating
injury and associated traumatic injuries. Emergency operative intervention with maximum salvage rule applied.
Findings:
All patients attended in emergency roomwith unstable vitals and hemodynamic instability. Explorationwas performed
in all the patients. Chest and lung injury was found in 1 patient undergoing exploration, 2 of whom had abdominal trauma
including bowel and spleen injury, undergone bowel resection and splenectomy. One patient presented with retroperitoneal
peri-lumbar trauma undergone local exploration and damage control surgery. Most of the cases were associated with internal
bleed and soft tissue injury. Postoperative complications occurred infrequently: Only one patient developed wound infection.
Conclusion & Significance:
Prompt and accurate assessment of the gunshot injuries is essential, both clinically and
radiographically. Gunshot wounds can injure organs directly as well as those located close to the bullet tract. These injuries may
be found in adjacent cavities not traversed by the bullet. A high index of suspicion, as well as imaging, is important to diagnose
and grade these injuries.
Biography
Ishant Kumar Chaurasia has his expertise in evaluation and passion in improving health and well-being. He has completed his MBBS in 2012 and MS in General
Surgery in 2016. He has worked in various prestigious centers like Wockhardt Mumbai, TejVedaant Group of Hospitals, Jaslok Hospital, etc. Currently, he is working
as a Consultant Laparoscopic Surgeon at Fortis OPJ Hospital, India.
ishant.chaurasia@jspl.comIshant Kumar Chaurasia
Fortis OPJ Hospital, India
Notes: