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Abstract

Introduction. Bullet injuries are a real public health issue in Mali and their frequency is increasing in our country. The aim of our study was to describe the occurring circumstances as well as the lesions and the patients’ management. Methods. This was a cross sectional descriptive and retrospective study that was carried on at Hopital Sominé of Mopti; It covered the period from January 2015 to December 2017 (3 years) and concerned on 44 patients. Results. The series included 42 men and 2 women. Their average age was 30 years (range: 8 - 60 years). Farmers (19 cases) and military (11 cases) were mostly affected. The maximum time delay before admission was 26.4 hours. The most common circumstances were attacks (26 cases) and manipulation of guns accident (10 cases). The most used weapons were: war weapons were used in 23 cases and pistol in 11 cases. The injury concerned the chest in 20 cases and pelvic limbs in 10 cases. There were 22 soft tissue wounds and 19 fractures cases (all of them open fractures). The average duration of treatment was 30.9 hours. In emergency, we cleaned the wound in 24 cases and used external fixatives in nine cases. As far as complications are concerned, there were eight infections and two bilateral blinded eyes. The outcome was a favorable in 37 cases and 3 patients died. Conclusion. Firearms wounds concern armed forces as well as civilian population. They should be prevented by the respect of security rules in conflict areas.

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Terna, T. ., L, T. ., M, D. ., & HM, A. . (2021). Prise en Charge des Traumatismes par Armes à Feu à l’Hôpital de Mopti. HEALTH SCIENCES AND DISEASE, 22(9). https://doi.org/10.5281/hsd.v22i9.2987
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References

  1. - Adam S, Samab H.-D, Akpoto M.-Y et al. Traumatismes par engins explosifs improvisés au Mali : à propos de trois cas pris en charge dans un Role2. Médecine et armées 2017 ; 45 (3) : 299-304.
  2. - Zafar SN, Rushing A, Haut ER et al. Outcome of selective non-operative management of penetrating abdominal injuries from the North American National Trauma Database. Br J Surg 2012 ; 99 (S1) : 155-64.
  3. - Abalo A,Walla A, Ayouba G, Dellanh Y et al. Internal Fixation of Gunshot Induced Fractures in Civilians: Anatomic and Functional Results of a Standard Protocol at an Urban Trauma Center. Open Journal of Orthopedics 2016 ; 6 : 63-70.
  4. - Fabeck L, Hock N, Goffine J, Ngatchou W. Notions de balistique et prise en charge des plaies par balle au niveau des membres. Rev Med Brux 2017 ; 38 : 474-81.
  5. - Pasquier P, de Rudnicki S, Donat N et al. Type et épidémiologie des blessures de guerre, à propos de deux conflits actuels : Irak et Afghanistan. Ann Fr Anesth Reanim. 2011 ; 30 (11) : 819-27.
  6. - Davies M, Kerins M, Glucksman E. Inner-city gunshot wounds 10 years on. Injury 2011 ; 42 (5) : 488-91.
  7. - Zida A, Diallo O, Zan A, Traoré SS. Les plaies par armes à feu lors de la crise insurrectionnelle des militaires en 2011 à Ouagadougou (Burkina Faso). Rev Int Sc Méd 2013 ; 15 (2) : 91-94.
  8. - Yao LB, Krah LK, Sery JL et al. Traumatismes musculo-squelettiques par arme à feu pendant le conflit civil de 2011 en Côte d’Ivoire. Orth Emerg Afr 2012 ; 1 : 19-21.
  9. - Dikongue DF, Hans Moevi A, Handy Eone D et al. Les fractures ouvertes par arme à feu en milieu civil : à propos de 35 cas en milieu urbain africain. Orth. Emerg.Afr 2012 ; 1 (1) :18-9.
  10. - Akpoto YM, A.Abalo A, Gnandi-pio F. Aspects épidémiologiques des fractures de membres liées à l’exercice de la fonction militaire au Togo. Pan Afr Med J 2015 ; 20 : 377.
  11. - Pascal C, Koovi P A, François A et al. Aspects Épidémiologiques et Thérapeutiques des Traumatismes Balistiques en Milieu Civil à Cotonou. European Scientific Journal 2019 ; 15 (27) : 23 – 30.
  12. - Van Waes OJF, Van Lieshout EMM, Hogendoorn W et al. Treatment of penetrating trauma of the extremities: ten years’ experience at a Dutch level 1 trauma center. Scand J Trauma Resusc Emerg Med. 2013 ; 14 : 21-2.
  13. - Bruner D, Gustafson CG, Visintainer C. Ballistic injuries in the emergency department. Emerg Med Pract. 2011 ; 13 (12) : 1-30.
  14. - Russell R, Clasper J, Jenner B et al. Ballistic injury. BMJ. 2014 ; 348 : 1143.
  15. - Monka M, Nzaka Moukala C.D, Bilongo-Bouyou A et al. Prise en Charge Précoce des Traumatismes par Explosion de Munitions à Brazzaville. Health Sci. Dis 2016 ; 17 (3) : 20-2.
  16. - Roman C de Saint, Cinquetti G, Ezanno AC et al. Explosion par attentats terroristes : prise en charge chirurgicale des effets du blast. e – mémoires de l’académie Nationale de Chirurgie 2011 ; 10(1) : 067-O73.
  17. - Nguyen T, Kalish J, Woodson J. Management of civilian and military vascular trauma : lessons learned. Semin Vasc Surg. 2010 ; 23 (4) : 235-42.
  18. - Wallin D, Yaghoubian A, Rosing D et al. Computed tomographic angiography as the primary diagnostic modality in penetrating lower extremity vascular injur ies: a level I trauma exper ience. Ann Vasc Surg. 2011 ; 25(5) : 620-3.
  19. - Franz RW, Shah KJ, Halaharvi D et al. 5-years review of management of lower extremity arterial injuries at an urban level I trauma center. J Vasc Surg. 2011 ; 53(6) : 1604-10.
  20. - Daghfous A, Bouzaïdi K, Abdelkefi M et al. Contribution of imaging in the initial management of ballistic trauma. Diagn Interv Imaging. 2015 ; 96(1) : 45-55.
  21. - Kouassi AKS, Celestin B, Kokoe MG et al. Les accidents balistiques chez l’enfant au cours du conflit civil de 2011 à Abidjan - Côte-d’Ivoire Orth Emerg Afr 2012 ; 1 : 16-18.
  22. - Lichte P, Oberbeck R, Binnebösel M et al. A civilian perspective on ballistic trauma and gunshot injuries. Scand J Trauma Resusc Emerg Med. 2010 ; 17 : 18-35.
  23. - Seng VS, Masquelet AC. Management of civilian ballistic fractures. Orthop Traumatol Surg Res. 2013 ; 99(8) : 953-8.
  24. - Versier G, Ollat D. Blessures des membres et du rachis par projectiles. EMC - Rhumatologie-Orthopédie 2005 ; 2(3) : 262-75.
  25. - Oberlin C, Rantissi M. Gunshot injuries to the nerves. Chir Main. 2011 ; 30(3) : 176-82.

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