Trap guns injuries in rural Sri Lanka

Abstract

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.