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Bull horn injuries.

J Idikula1, B V Moses, D Sadhu

  • 1Department of General Surgery Unit 3, Christian Medical College Hospital, Vellore, India.

Surgery, Gynecology & Obstetrics
|March 1, 1991
PubMed
Summary
This summary is machine-generated.

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Bull horn injuries are a significant concern, particularly affecting the perineum and abdomen. This study recommends avoiding primary wound closure to reduce infection rates and improve patient outcomes.

Area of Science:

  • Trauma Surgery
  • Public Health

Background:

  • Bull horn injuries necessitate inpatient treatment, with a notable incidence requiring surgical intervention.
  • A 12-year study period (1977-1988) at Christian Medical College Hospital, Vellore, South India, documented 101 cases.

Purpose of the Study:

  • To analyze the characteristics and management outcomes of bull horn injuries.
  • To identify factors influencing wound infection and patient mortality.

Main Methods:

  • Retrospective analysis of 101 inpatient cases of bull horn injury.
  • Evaluation of injury patterns, surgical interventions, wound closure techniques, and infection rates.

Main Results:

  • Injuries predominantly affected the perineum and abdomen (61%), with upward oblique trajectories.

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  • Extensive surgical intervention was required in 35% of cases.
  • The overall wound infection rate was 12.9%, significantly higher in primarily closed wounds (42.9%) compared to secondarily closed wounds (6.3%).

    • Conclusions:

    • Careful evaluation and timely management are crucial for reducing morbidity and mortality from bull horn injuries.
    • Primary closure of bull horn wounds should be avoided, even with early surgical intervention, to minimize infection risk.