Management of Penetrating Abdominal Injuries during the Sudan arm conflict, Descriptive cohort Study.

الملخص

Penetrating abdominal injuries have become a global health issue. In Sudan, their occurrence has risen
due to the armed conflict that began in April 2023, impacting the healthcare system in the capital city.
This study aimed to assess the management challenges and outcomes of penetrating abdominal
injuries at Wad Medani Teaching Hospital during the armed conflict. A retrospective, hospital-based
cohort study conducted from April to October 2024 included all patients presenting with penetrating
abdominal injuries related to the Sudan arm conflict. Data on demographics, injury mechanisms,
clinical outcomes, surgical interventions, and complications were collected and analyzed using SPSS
version 29. The study included 74 patients with a mean±SD age of 27.81 years, and a male majority of
69 (93.2%). Gunshot wounds were the most common injury type (71.6%), followed by stab wounds
(18.9%), explosion-related injuries (6.8%), and penetrating injuries (2.7%). Laparotomy was the primary
surgical intervention needed in 98.6% of cases. Blood transfusions were necessary for 93.2% of
patients, and 43.2% required ICU admission. Postoperative complications included peritonitis (27.0%)
and hemorrhage (25.7%).The mortality rate was 13.5%, and 74.3% of patients achieved full recovery.
Challenges in providing care involved limited surgical resources (41.9%) and a lack of medical supplies
(28.4%).The study concluded Critical insight into the management of PAT in conflict settings,
emphasizing the need for timely access to care adequate surgical resources and comprehensive
postoperative managements.