Operative and non-operative management of children with abdominal gunshot injuries

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dc.authorid0000-0002-7159-952Xen_US
dc.authorid0000-0002-9217-423Xen_US
dc.authorid0000-0002-6720-1515en_US
dc.authorid0000-0003-4792-8722en_US
dc.authorid0000-0001-7765-764Xen_US
dc.contributor.authorArslan, Mehmet Şerif
dc.contributor.authorZeytun, Hikmet
dc.contributor.authorArslan, Serkan
dc.contributor.authorBasuguy, Erol
dc.contributor.authorOkur, Mehmet Hanifi
dc.contributor.authorAydoğdu, Bahattin
dc.contributor.authorGöya, Cemil
dc.contributor.authorUygun, İbrahim
dc.contributor.authorOtçu, Selçuk
dc.date.accessioned2022-03-14T12:40:51Z
dc.date.available2022-03-14T12:40:51Z
dc.date.issued2018en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Çocuk Cerrahisi Ana Bilim Dalıen_US
dc.description.abstractABSTRACT: BACKGROUND: Non-operative management (NOM) is a standard treatment method for solid organ injuries worldwide. There is no consensus on the management of gunshot wounds (GSW) because of the higher frequency of hollow viscus injuries (HVI) and the unpredictable depth of tissue damage produced by kinetic energy transfer during retardation of the bullet. Here we aimed to reevaluate indications for surgery and NOM based on our pediatric patients with abdominal GSW. METHODS: We performed a retrospective analysis of patients evaluated and treated for abdominal GSW at University of Dicle between January 2010 and October 2016. Patients with hemodynamic instability, signs of peritonitis on serial abdominal examination, and free air in the abdomen underwent laparotomy; these were included in group I (n=17). Patients managed non-operatively were included in group II (n=13). RESULTS: Our statistical analysis showed significantly lower Hb levels and systolic blood pressure levels (p<0.001) and higher pulse rate, higher mean injury severity score, and longer length of stay at intensive care unit in patients in group I than in those in group II (p<0.001). We further detected colon perforation (n=10) and small bowel perforation (n=7) in patients in group I; liver laceration (n=4), splenic injury (n=1), and renal injury (n=3) but no solid organ injury or HVI (n=5) were detected in patients in group II. CONCLUSION: The major drawback of NOM is the difficulty in diagnosing HVI in abdominal GSW, which may delay treatment. We suggest that patients with solid organ damage who are hemodynamically stable and exhibit no signs of peritonitis upon serial abdominal exam may be treated with NOM.en_US
dc.identifier.citationArslan, M. Ş., Zeytun, H., Arslan, S., Basuguy, E., Okur, M. H., Aydoğdu, B. ve diğerleri. (2018). Operative and non-operative management of children with abdominal gunshot injuries. Ulusal Travma ve Acil Cerrahi Dergisi, 24(1), 61-65.en_US
dc.identifier.endpage65en_US
dc.identifier.issn1306-696X
dc.identifier.issn1307-7945
dc.identifier.issue1en_US
dc.identifier.pmid29350370
dc.identifier.startpage61en_US
dc.identifier.trdizinidTRDizinIdYok
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TWpneE16UXhNUT09
dc.identifier.urihttps://hdl.handle.net/11468/9418
dc.identifier.volume24en_US
dc.identifier.wosWOS:000428237600012
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.indekslendigikaynakTR-Dizin
dc.institutionauthorArslan, Mehmet Şerif
dc.institutionauthorZeytun, Hikmet
dc.institutionauthorArslan, Serkan
dc.institutionauthorBasuguy, Erol
dc.institutionauthorOkur, Mehmet Hanifi
dc.institutionauthorAydoğdu, Bahattin
dc.institutionauthorGöya, Cemil
dc.institutionauthorUygun, İbrahim
dc.institutionauthorOtçu, Selçuk
dc.language.isoenen_US
dc.publisherUlusal Travma ve Acil Cerrahi Derneğien_US
dc.relation.ispartofUlusal Travma ve Acil Cerrahi Dergisi
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectChildrenen_US
dc.subjectGunshot injuriesen_US
dc.subjectHollow viscus injuriesen_US
dc.subjectNon-operative managementen_US
dc.titleOperative and non-operative management of children with abdominal gunshot injuriesen_US
dc.titleOperative and non-operative management of children with abdominal gunshot injuries
dc.typeArticleen_US

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