Effects of blast injury on kidneys in abdominal gunshot wounds

Basit Öğe Kaydı
dc.contributor.authorKarademir, Kenan
dc.contributor.authorGunhan, Mustafa
dc.contributor.authorCan, Cevat
dc.date.accessioned2024-04-24T16:18:34Z
dc.date.available2024-04-24T16:18:34Z
dc.date.issued2006
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjectives. To determine the rate of renal fragmentation resulting from blast effects and perform microscopic examination of renal arteries after gunshot wounds resulting from a high-velocity bullet. Methods. A total of 194 patients with gunshot wounds due to blast effects underwent surgical exploration. Of the 194 patients, 35 (18%) had 37 renal unit injuries (2 patients had bilateral renal injury). Of the 37 renal units, 32 were treated with nephrectomy and 5 with renoraphy. During surgical exploration, 7 patients were found to have renal fragmentation resulting from blast effects. The distance between the bullet direction in the body and the renal parenchyma was evaluated. Also, the histologic changes in the renal artery were examined microscopically. Results. Although the renal injury rate from abdominal gunshot wounds due to high-velocity bullets was 18%, the renal fragmentation rate due to blast effect was 0.36%. The mean distance between the bullet direction in the body and the renal parenchyma in patients with renal fragmentation was 2.2 cm (range 1 to 5). Two patients had intimal lacerations and one had minimal thrombosis. Conclusions. Renal fragmentation from the blast effect in these patients was closely related to the distance between the bullet direction in the body and the renal parenchyma. The possibility was greater for close-range (less than 50 m) gunshots. We believe that the histologic changes in the renal artery are not very important in the patients.en_US
dc.identifier.doi10.1016/j.urology.2006.08.1091
dc.identifier.endpage1163en_US
dc.identifier.issn0090-4295
dc.identifier.issn1527-9995
dc.identifier.issue6en_US
dc.identifier.pmid17169639
dc.identifier.startpage1160en_US
dc.identifier.urihttps://doi.org/10.1016/j.urology.2006.08.1091
dc.identifier.urihttps://hdl.handle.net/11468/16172
dc.identifier.volume68en_US
dc.identifier.wosWOS:000242869900005
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherElsevier Science Incen_US
dc.relation.ispartofUrology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subject[No Keyword]en_US
dc.titleEffects of blast injury on kidneys in abdominal gunshot woundsen_US
dc.titleEffects of blast injury on kidneys in abdominal gunshot wounds
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu