A comparison of the outcome of Gun Shot Wounds with and without skin closure in terms of wound healing time and wound infection.

Authors

  • Ahmed Siddique Ammar MAYO Hospital Lahore, Pakistan.
  • Ahmed Usman Khalid Hayatabad Medical Complex, Peshawar.
  • Qandeela Irum Qureshi DHQ Teaching Hospital Dera Ismail Khan.
  • Farwa Inayat Mayo Hospital Lahore.
  • Azwa Munim Janjua Mayo Hospital Lahore.
  • Affifa Liaquat Mayo Hospital Lahore.

DOI:

https://doi.org/10.29309/TPMJ/2022.29.09.6711

Keywords:

Debridement, Firearm, Gunshot, Infection, Skin, Wound

Abstract

Objective: To compare the outcome of Gun Shot Wounds with and without skin closure in terms of wound healing time and wound infection. Study Design: Comparative Study. Setting: East Surgical Ward Mayo Hospital Lahore Pakistan. Period: 6 Months (from 1st January 2020 to 30th June 2020). Material & Methods: Sample size of 300 patients was used by consecutive convenient non probability sampling. Patients were divided into Group A and Group B with 150 patients in each group by lottery method. Group A patients underwent wound debridement and primary skin closure while group B patients underwent wound debridement and wound packing. Outcome was measured in terms of wound healing time and wound infection 24 and 48 hours post operatively. P-value less than 0.05 was taken as significant. Results: Two hundred and fourteen (n=214,71.33 %) patients were male and 86 (28.66 %) were female with mean age of 32 ± 7.56 years. The wound healing time in Group A patients was 6 days ± 2.18 days while in group B it was 13 days ± 3.87 days (P value 0.01). After 24 hours, Frequency of wound infection was 43 (14.3%) in Group A patients while 31(10.3%) in Group B patients (P value = 0.19). Similarly, after 48 hours wound infection rate was 17 (5.6%) in Group A while 11 (3.6%) in Group B (P value = 0.42). Conclusion: Applying skin stiches on Gun Shot Wounds after sufficient debridement and irrigation leads to early healing of the wound.

Author Biographies

Ahmed Siddique Ammar, MAYO Hospital Lahore, Pakistan.

MBBS, MS, FACS, Senior Registrar East Surgical Ward, 

Ahmed Usman Khalid, Hayatabad Medical Complex, Peshawar.

MBBS, Post Graduate Resident, 

Qandeela Irum Qureshi, DHQ Teaching Hospital Dera Ismail Khan.

MBBS, FCPS, Senior Registrar Gynecology, 

Farwa Inayat, Mayo Hospital Lahore.

MBBS, Post Graduate Resident General Surgery, 

Azwa Munim Janjua, Mayo Hospital Lahore.

MBBS, Post Graduate Resident Pediatric Surgery, 

Affifa Liaquat, Mayo Hospital Lahore.

MBBS, Post Graduate Resident General Surgery, 

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Published

2022-09-01