Open Trauma of the Abdomen by Weapons at the Reference Health Center of Commune I of Bamako

Abstract

Purpose: To analyze the outcomes of the management of open trauma to the abdomen by weapons. Methodology: This was a prospective, descriptive study from February 2019 to January 2020. Results: We performed 418 surgeries with 7.65% (32 cases) of open trauma to the abdomen by weapons. The average age was 31.38 years with extremes of 7 to 54 years. The male sex was the most represented 90% or a ratio of 9. The majority of our patients were injured overnight at home or in nightclubs. The assault was criminal with knives in the majority of cases. Abdominal pain and evisceration were the main reasons for consultation. Physical examination and X-ray of the unprepared abdomen (ASP) made the diagnosis. Laparotomy was performed in all our patients with simple consequences. Conclusion: Since the advent of the socio-political crisis in Mali, the proliferation of weapons has encouraged criminal attacks. Their management is complex often multidisciplinary is still controversial between laparotomy from the outset and non-operative treatment.