Management of Abdominal Gunshot Wounds of Ballistic Trauma at Somine DOLO Hospital of Mopti

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Background: Abdominal gunshot wounds are common in areas of armed conflict.Mali a west African country has been going through a security crisis since 2012, which has led to an avalanche of wounds.The management of these wounds calls for multidisciplinary expertise due to their complexity.The aim of this work was to describe the clinical, epidemiological, surgical and therapeutic characteristics of abdominal gunshot wounds. Patients and Methods:This was a prospective study January 1, 2019 to December 31, 2019) on 1601 trauma received in emergency and general surgery departments of the Sominé DOLO Hospital of Mopti.The study involved all patients who had a gunshot wound to the abdomen during the study period.Data were entered into Excel and analyzed using SPSS (Statistical Package for Social Sciences) version 20 software.Results: A total of 27 cases (10.8%) of visceral gunshot wounds were recorded out of the 250 cases of ballistic wounds recorded during the study period.Intestinal perforation was the most common abdominal lesion, 11/27 cases (40.7%).The most surgical process performed was the ileo-ileal anastomosis resection with 9/27 cases (33.3%).The evolution was favorable in 22/27 (81.5%) of cases however was noted some cases of infectious complication and 2/27 cases of death (7.4%).Conclusion: Abdominal gunshot wounds are common in areas of armed conflict with intestinal perforation as the most common abdominal wound.

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