Browsing by Author "Banagala, A.S.K."

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    The Rambewa bus bomb, a clinico-pathological review
    (College of Surgeons of Sri Lanka, 2001) Banagala, A.S.K.; Ariyaratne, M.H.J.
    BACKGROUND : Exposure to an explosion produces a well-defined pattern of injury. A retrospective study of the pattern of injury sustained by the victims of a blast in a vehicle has been undertaken. METHOD: Injuries sustained by the eight (08) patients who died on the spot were obtained,with permission, from the records of the Judicial Medical Officer. Injuries of those who survived initially, including the two (02), who succumbed to their- injuries after admission to the hospital, were gathered from the hospital records. RESULTS: The dead had all suffered multiple system injuries and or traumatic amputation of lower extremity whilst most survivors suffered skeletal injuries alone. Two (02) of the survivors had penetrating abdominal injuries together with skeletal injuries. CONCLUSION: Presence of multiple system injuries and/or traumatic amputation of limbs are a poor prognostic indicator in a blast scenario. Haemorrhage was the most frequent life-threatening problem among the survivors.
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    Trap guns injuries in rural Sri Lanka
    (College of Surgeons of Sri Lanka, 2007) Banagala, A.S.K.; Ariyaratne, M.H.J.
    BACKGROUND: Trap gun injuries are not uncommon in rural Sri Lanka. They cause considerable morbidity and mortality. Peripheral vascular injuries are encountered frequently among the victims. METHOD: A retrospective analysis of the injuries, methods of treatment, and results was performed. Details of fifty eight (58) patients were studied. Operative details were accurately recorded in a separate log book. Perusal of bed head tickets and the records of the judicial medical officer too helped. RESULTS: Two (02) patients died and six (06) others had amputation of lower limb at different levels. One survivor had severe tourniquet shock syndrome. Twenty eight percent (28%) of patients had wound infection. CONCLUSION: Abdominal injuries carry a high risk of mortality. Lower limb injuries are associated with a high incidence of vascular injuries. Lag time is the single most important factor that affects the outcome of the peripheral arterial injuries. Prognosis of popliteal artery injuries is particularly poor.