Eficacia de los tratamientos postquirúrgicos en la zona abdominal por heridas de arma de fuego en pacientes de 25 a 60 años en el Hospital de la Policía en Guayaquil en el año 2020-2022.

Abstract

Injuries from firearms are one of the most common causes in hospitals due to the type of trauma they can cause; these are the most serious medical emergencies. ''There are 2 types of therapeutic approaches for abdominal gunshot wounds: surgical and non-surgical.'' Objective: To evaluate the efficacy of post-surgical treatment for abdominal gunshot wounds. Materials and methods: A cross-sectional, observational, retrospective, and comparative study was conducted among patients admitted for this pathology of abdominal gunshot wounds from 2020 to 2022 who were treated at the National Police Hospital N°2 of Guayaquil. The data obtained were stored in a Microsoft Excel database, and the statistical measures were used with a central tendency for quantitative variables and frequency and percentage for qualitative variables. Results: The average age of patients with firearm injuries was 32.92 ± 35.91, corresponding to 89% of the total number of patients, with a predominance of male patients and 11% of female patients. Of the total patients, only 12 had postoperative complications requiring surgical readmission, and 98 had a successful postoperative course during their hospital stay. Conclusions: The different clinical manifestations of each patient received by a gunshot wound at the abdominal level were identified, as well as the quick and effective decision-making for patients who required to be admitted to the operating room, and the treatments for the clinical pictures present were demonstrated.