2015
DOI: 10.1016/b978-0-444-52892-6.00012-x
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Surgical management of civilian gunshot wounds to the head

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Cited by 47 publications
(24 citation statements)
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References 98 publications
(146 reference statements)
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“…The results of this more conservative approach were shown to be equivalent to earlier approaches and this conservative trend has persisted during more recent conflicts. [4][5][6]12 Although our data is different to these military reports as the penetrating trauma is mostly of low velocity trauma, our results are very much in keeping with this trend towards conservatism. Only in patients with axe wounds to the head was surgery needed in more that 60% of cases.…”
Section: Discussionsupporting
confidence: 56%
“…The results of this more conservative approach were shown to be equivalent to earlier approaches and this conservative trend has persisted during more recent conflicts. [4][5][6]12 Although our data is different to these military reports as the penetrating trauma is mostly of low velocity trauma, our results are very much in keeping with this trend towards conservatism. Only in patients with axe wounds to the head was surgery needed in more that 60% of cases.…”
Section: Discussionsupporting
confidence: 56%
“…38 Although not supported by any prospective randomized controlled study, the use of prophylactic broad spectrum antibiotics is appropriate for patients with PBI since these wounds are considered to be contaminated. 39 According to the current US military guidelines, patients should receive cefazolin for 5-7 days. 40 Helling et al stated that antibiotics, usually cephalosporins for blood-brain barrier penetration, were routinely administered to all patients, and no instances of postoperative brain abscesses were reported.…”
Section: Clinical Managementmentioning
confidence: 99%
“…The implanted material along with necrotic brain and bone fragments are usually at the entrance of the incurred brain wound and if not well debrided can act as a nidus for infection. 39 Among the dreadful complications of GWH are CSF leaks or stulas, which have been variably reported in from 0.63 to 8.9% of patients. They are more frequent in patients with ventricular involvement and incomplete dural and scalp closure, the chance of infection was increased 20 times in patients with CSF stulas.…”
Section: Complicationsmentioning
confidence: 99%
“…Fifty percent of all trauma-related deaths are attributed to traumatic brain injury with 35% of these injuries resulting from gunshot wounds to the head [1-2]. This accounts for approximately 20,000 injuries [3-4]. Patients with penetrating head trauma with retained projectiles develop intracranial abscesses as a common complication.…”
Section: Introductionmentioning
confidence: 99%