Operative and non-operative management ofchildren with abdominal gunshot injuries

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dc.contributor.authorArslan M.Ş.
dc.contributor.authorZeytun H.
dc.contributor.authorArslan S.
dc.contributor.authorBasuguy E.
dc.contributor.authorOkur M.H.
dc.contributor.authorAydoğdu B.
dc.contributor.authorGöya C.
dc.date.accessioned2024-04-24T17:58:26Z
dc.date.available2024-04-24T17:58:26Z
dc.date.issued2018
dc.departmentDicle Üniversitesien_US
dc.description.abstractBACKGROUND: 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. © 2018 Turkish Association of Trauma and Emergency Surgery.en_US
dc.identifier.doi10.5505/tjtes.2017.15359
dc.identifier.endpage65en_US
dc.identifier.issn1306-696X
dc.identifier.issue1en_US
dc.identifier.pmid29350370
dc.identifier.scopus2-s2.0-85040983847
dc.identifier.scopusqualityQ3
dc.identifier.startpage61en_US
dc.identifier.urihttps://doi.org/10.5505/tjtes.2017.15359
dc.identifier.urihttps://hdl.handle.net/11468/23921
dc.identifier.volume24en_US
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTurkish Association of Trauma and Emergency Surgeryen_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 İnjuriesen_US
dc.subjectHollow Viscus İnjuriesen_US
dc.subjectNon-Operative Managementen_US
dc.titleOperative and non-operative management ofchildren with abdominal gunshot injuriesen_US
dc.titleOperative and non-operative management ofchildren with abdominal gunshot injuries
dc.title.alternativeBatın ateşli silah yaralanması olan çocuklarda cerrahi ve cerrahi olmayan yaklaşımımızen_US
dc.title.alternativeBatın ateşli silah yaralanması olan çocuklarda cerrahi ve cerrahi olmayan yaklaşımımız
dc.typeArticleen_US

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