Salah Mansor1,2, Naman Ziu1, Hannibal Almissmary1, Mohammed Alawami1, Ayoub Bujazia3, Ahmed Eltarhoni4

1Department of General Trauma and Acute Care Surgery, Benghazi University Faculty of Medicine, Al-Jalaa Teaching Hospital, Benghazi, Libya
2Department of Surgery, Libyan International Medical University Faculty of Medicine, Benghazi, Libya
3Department of Diagnostic Radiology, Benghazi University Faculty of Medicine, Benghazi Medical Center, Benghazi, Libya
4Department of Family and Community Medicine, Benghazi University Faculty of Medicine, Benghazi, Libya


Objective: Gunshot injuries have become a significant problem globally. This study aimed to assess the differences between abdominal versus pelvic gunshot injuries in terms of postoperative outcomes to determine which type of injury is more lethal.

Material and Methods: This was a cohort study carried out to compare patients who had abdominal versus pelvic gunshot injuries, to analyse the differences in the impact of the anatomical site of injury on morbidity, mortality, and disabilities in all patients who had been admitted to the hospital due to torso gunshot injuries from February 2011 to December 2018.

Results: During the study period, 406 patients suffered from torso gunshot injuries. 391 were males and 15 were females; 343 (84.4%) patients had abdominal gunshot wounds, which were considered the first group, while in the second group, there were 63 (15.6%) patients who had pelvic gunshot wounds In the first group, 328 (95.6%) patients required urgent explorative laparotomy, complications were observed in 83 (24.2%) patients, while re-operations were reported in 51 (14.9%) patients and 11 (3.2%) patients had permanent functional disabilities, and 46 (13.4%) patients passed away. In the second group, all patients were treated with urgent explorative laparotomy, 17 (27%) patients suffered from complications, re-operation occurred in 13 (20.6%) patients, permeant functional disability occurred in 17 (27%) patients, and mortality was seen in 16 (25.4%) patients.

Conclusion: Our clinical experience has shown that mortality rates and long-term disability occur at a higher rate in pelvic gunshot injuries therefore early senior surgeon input is mandatory for the potential poor outcome to be minimized.

Keywords: Gunshot, abdominal wound, pelvic wound, torso injury

Cite this article as: Mansor S, Ziu N, Almissmary H, Alawami M, Bujazia A, Eltarhoni A. Abdominal versus pelvic gunshot injuries in terms of postoperative outcomes: A cohort representing the experience of 406 cases in seven years. Turk J Surg 2024; 40 (1): 36-46.


Ethics Committee Approval

This study was approved by Benghazi University Al-Jalaa Teaching Hospital Ethics Committee (Decision no: 361/2022, Date: 10.12.2023).

Peer Review

Externally peer-reviewed.

Author Contributions

Concept - SM, AE; Design - SM, AE; Supervision - SM; Data Collection and/or Processing - NZ, HA, MA, AB; Analysis and/or Interpretation - AE, HA; Literature Search - SM, AB, NZ; Writing Manuscript - AE, AB, NZ, MA; Critical Reviews - SM.

Conflict of Interest

The authors have no conflicts of interest to declare.

Financial Disclosure

The authors declared that this study has received no financial support.