Analysis of 175 Cases Underwent Surgical Treatment in Our Hospital After Having Abdominal Wounding by Firearm in the War at Syria

Aim: We aimed at analysing the patients, who underwent surgical treatment in our hospital after having abdominal wounding by firearm in the war at Syria, retrospectively. Material and Method: The files of Syrian patients, who applied to Emergency Service of Harran University Medical Faculty because of gunshot wounds and had operation after being hospitalized in General Surgery Clinic due to abdominal injuries between the years of 2011 and 2014, were analysed retrospectively. Results: 175 Syrian patients, who had abdominal injuries by firearms, underwent operation in our general surgery clinic. 99.4% (n=174) of the patients were male, and 0.6% (n=1) were female. Trauma-admission to hospital times of all cases were %u2265 6 hours. 62.8% (n=110) of the patients had isolated abdominal injuries, and 37.1% (n=65) had two or more system injuries. The frequency of more than one organ injuries in abdominal region was 44.5% (n=78) and the most frequent complication was wound infection (10%). Negative laparoscopy was 2.8% (n=5), support for intensive care was 38.2% (n=67), average duration of intensive care unit stay was 5.57 days and mortality was 9.7% (n=17). Discussion: In our study, it was seen that infectious morbidity and mortality increased for the patients, who applied to our hospital because of abdominal injuries by firearm, particularly the ones with gastrointestinal perforation, if trauma-admission to hospital times were %u2265 6 hours. And this shows us that the early intervention to injuries that perforate gastrointestinal tract was an important factor for decreasing morbidity and mortality