Civil War Surgical Experience: Gun Shot or Shell Fragment Injuries

Hanedan, Muhammet Onur; Ketenciler, Serkan; Ercişli, A Murat; Ciftci, B.; Duman, Zeynel; Polat, Müslüm; Yamak, Birol

doi:10.9739/uvcd.2014-39208

Cited by 2 publications

(2 citation statements)

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“…In contrast, Becit et al [9] reported amputation and death rates as 3.9% and 6.1%, respectively. Additionally, Akça [18] reported 8.3% amputation rate following war-related injuries, whereas Hanedan et al [19] performed leg amputation in two of 28 patients in civil war-related injuries. In the present study, there were three extremity amputations (1.5%) and three deaths (1.5%).…”

Section: Discussionmentioning

confidence: 99%

Management of traumatic extremity arterial injuries in a tertiary care center: A report with 197 cases

Kılıç¹

2021

Turk J Vasc Surg

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Objectives: This study aims to analyze patients' characteristics, treatments applied, and treatment outcomes following traumatic extremity arterial injuries (TEAIs) in a tertiary care center. Patients and methods:A total of 197 patients (185 males, 12 females; mean age: 32.5±10.1 years; range, 13 to 67 years) who underwent emergency operation due to a TEAI in our center between January 2013 and March 2020 were retrospectively analyzed. Data including sex, age, body mass index (BMI), admission time to hospital, side of injury, injured artery or arteries, cause of injury, and associated injuries were noted. Treatments applied, length of hospital and intensive care unit (ICU) stay, and the mortality rate were recorded. Results:Penetrating injuries and gunshot wounds were found in 81 (41.1%) and 68 (34.5%) patients, respectively. Bone fractures and nerve injuries were accompanied by a TEAI in 38 (19.3%) and 11 (5.6%) patients. Superficial femoral artery (SFA) was the most frequently injured artery (56%). Bypass with saphenous vein was the most utilized management modality in 89 (45.2%) patients, while primary repair was performed in 64 (32.5%) patients. Infection developed in nine (4.6%) patients. Fasciotomy was required due to compartment syndrome in 17 (8.6%) patients. Extremity amputation was performed in three (1.5%) patients and mortality was seen in three (1.5%) patients. Conclusion:Our study results suggest that penetrating traumas are the most common cause of TEAI, and that SFA is the most commonly injured artery. Primary repair and bypass with saphenous vein are the most utilized techniques in the management of TEAIs.

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Section: Discussionmentioning

confidence: 99%

Management of traumatic extremity arterial injuries in a tertiary care center: A report with 197 cases

Kılıç¹

2021

Turk J Vasc Surg

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“…18 The shotgun pellets have distinct features based on their higher powder charge and stuffing, the damage they cause further increases. 15,19…”

Section: Discussionmentioning

confidence: 99%

Distal Lower Extremity Revascularization for Limb Salvage After Close Shotgun Injuries

Diken¹,

Yalçınkaya²,

Aksoy³

et al. 2014

Damar Cer Derg

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Most of the time, amputation is unavoidable depending on the severity of the destruction in extremity injured by close range shotgun trauma. We hereby present our surgical results regarding a case series of patients in whom we performed limb salvage surgery for closerange, below-knee shotgun injuries. M Ma at te er ri ia al l a an nd d M Me et th ho od ds s: : This cross-sectional study was made between May 2012 and October 2013. Data regarding the patient demographics, operative parameters, and the post-operative course were prospectively collected by recording on a printed chart (9 patients). R Re es su ul lt ts s: : All patients had fragmented tibial fractures, and 6 patients had also fibula fractures. The posterior tibial artery was the most commonly injured artery (8 patients). Five patients had double arterial and 4 patients had triple arterial damage. Four patients received primary revascularization to the extremity, 3 received autologous graft interposition with great saphenous vein, and 2 received distal bypasses with the popliteal artery being used as the inflow source. The nonviable soft tissue was removed. External fixation was performed for bone fractures. Injured nerves were primarily repaired. The median hospital stay was 11 days (8-15 days). Four patients achieved improvement in limb functions whereas the remaining 5 patients had permanent neurologic impairment during follow-up. C Co on nc cl lu us si io on n: : Gunshot wounds causes lower extremity vascular injury associated with high risk of amputation if accompanied by severe bone fracture and soft tissue damage. Rapid diagnosis and early surgical intervention are essential to decrease the rate of amputation, and achieve a functional recovery. Reconstructive surgery may be successfully performed for patients who are under risk for probable amputation. K Ke ey y W Wo or rd ds s: : Shotgun; limb salvage; amputation Ö ÖZ ZE ET T A Am ma aç ç: : Dokudaki tahribatın ciddiyetine bağlı olarak, yakın mesafeden av tüfeğiyle yaralanan ekstremitede amputasyon çoğunlukla kaçınılmazdır. Bu çalışmada yakın mesafeden maruz kalınan diz altı av tüfeği yaralanmalarında ekstremitenin kurtarılması amacıyla ameliyat edilen hastaların cerrahi sonuçlarının tartışılması amaçlanmıştır. G Ge er re eç ç v ve e Y Yö ön nt te em ml le er r: : Çalışma Mayıs 2012 ile Ekim 2013 tarihleri arasında gerçekleştirilmiştir. Hastalara (9 hasta) ait demografik veriler, operatif parametreler ve postoperatif döneme ait sonuçlar prospektif olarak kayıt altına alınmıştır. B Bu ul lg gu ul la ar r: : Tüm hastalarda parçalı tibia kırığı mevcutken, 6 hastada ek olarak fibula kırığı bulunmaktaydı. Posterior tibial arter en çok (8 hastada) yaralanan damardı. Beş hastada diz altı iki arterde, ve 4 hastada ise üç arterde de yaralanma mevcuttu. Dört hastaya primer tamir uygulanırken, 3'üne otolog safen ven ile greft interpozisyonu, 2 hastaya da popliteal arterden kan getirmek üzere distal baypas uygulandı. Viabilitesini yitiren dokular rezeke edildi. Kemik kırıklarına sıklıkla eksternal fiksasyo...

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Civil War Surgical Experience: Gun Shot or Shell Fragment Injuries

Cited by 2 publications

References 1 publication

Management of traumatic extremity arterial injuries in a tertiary care center: A report with 197 cases

Management of traumatic extremity arterial injuries in a tertiary care center: A report with 197 cases

Distal Lower Extremity Revascularization for Limb Salvage After Close Shotgun Injuries

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