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

AYDOGDU, BAHATTİN; ZEYTUN, Hikmet; göya, cemil; ARSLAN, SERKAN; BASUGUY, Erol; Uygun, Ibrahim; OTÇU, Selçuk; ARSLAN, Mehmet Şerif; OKUR, Mehmet Hanifi

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

Mehmet Şerif ARSLAN, (Dicle University)

Hikmet ZEYTUN, (Dicle University)

Serkan ARSLAN, (Dicle University)

Erol BASUGUY, (Dicle University)

Mehmet Hanifi OKUR, (Dicle University)

Bahattin AYDOĞDU, (Dicle University)

Cemil GÖYA, (Dicle University)

İbrahim UYGUN, (Dicle University)

Selçuk OTÇU (Dicle University)

Ulusal Travma ve Acil Cerrahi Dergisi

1 0

Yıl: 2018 Cilt: 24 Sayı: 1 Sayfa Aralığı: 61 - 65 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

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

Öz:

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

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Konular: Cerrahi

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APA	ARSLAN M, ZEYTUN H, ARSLAN S, BASUGUY E, OKUR M, AYDOGDU B, göya c, Uygun I, OTÇU S (2018). Operative and non-operative management of children with abdominal gunshot injuries. , 61 - 65.
Chicago	ARSLAN Mehmet Şerif,ZEYTUN Hikmet,ARSLAN SERKAN,BASUGUY Erol,OKUR Mehmet Hanifi,AYDOGDU BAHATTİN,göya cemil,Uygun Ibrahim,OTÇU Selçuk Operative and non-operative management of children with abdominal gunshot injuries. (2018): 61 - 65.
MLA	ARSLAN Mehmet Şerif,ZEYTUN Hikmet,ARSLAN SERKAN,BASUGUY Erol,OKUR Mehmet Hanifi,AYDOGDU BAHATTİN,göya cemil,Uygun Ibrahim,OTÇU Selçuk Operative and non-operative management of children with abdominal gunshot injuries. , 2018, ss.61 - 65.
AMA	ARSLAN M,ZEYTUN H,ARSLAN S,BASUGUY E,OKUR M,AYDOGDU B,göya c,Uygun I,OTÇU S Operative and non-operative management of children with abdominal gunshot injuries. . 2018; 61 - 65.
Vancouver	ARSLAN M,ZEYTUN H,ARSLAN S,BASUGUY E,OKUR M,AYDOGDU B,göya c,Uygun I,OTÇU S Operative and non-operative management of children with abdominal gunshot injuries. . 2018; 61 - 65.
IEEE	ARSLAN M,ZEYTUN H,ARSLAN S,BASUGUY E,OKUR M,AYDOGDU B,göya c,Uygun I,OTÇU S "Operative and non-operative management of children with abdominal gunshot injuries." , ss.61 - 65, 2018.
ISNAD	ARSLAN, Mehmet Şerif vd. "Operative and non-operative management of children with abdominal gunshot injuries". (2018), 61-65.

APA	ARSLAN M, ZEYTUN H, ARSLAN S, BASUGUY E, OKUR M, AYDOGDU B, göya c, Uygun I, OTÇU S (2018). Operative and non-operative management of children with abdominal gunshot injuries. Ulusal Travma ve Acil Cerrahi Dergisi, 24(1), 61 - 65.
Chicago	ARSLAN Mehmet Şerif,ZEYTUN Hikmet,ARSLAN SERKAN,BASUGUY Erol,OKUR Mehmet Hanifi,AYDOGDU BAHATTİN,göya cemil,Uygun Ibrahim,OTÇU Selçuk Operative and non-operative management of children with abdominal gunshot injuries. Ulusal Travma ve Acil Cerrahi Dergisi 24, no.1 (2018): 61 - 65.
MLA	ARSLAN Mehmet Şerif,ZEYTUN Hikmet,ARSLAN SERKAN,BASUGUY Erol,OKUR Mehmet Hanifi,AYDOGDU BAHATTİN,göya cemil,Uygun Ibrahim,OTÇU Selçuk Operative and non-operative management of children with abdominal gunshot injuries. Ulusal Travma ve Acil Cerrahi Dergisi, vol.24, no.1, 2018, ss.61 - 65.
AMA	ARSLAN M,ZEYTUN H,ARSLAN S,BASUGUY E,OKUR M,AYDOGDU B,göya c,Uygun I,OTÇU S Operative and non-operative management of children with abdominal gunshot injuries. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(1): 61 - 65.
Vancouver	ARSLAN M,ZEYTUN H,ARSLAN S,BASUGUY E,OKUR M,AYDOGDU B,göya c,Uygun I,OTÇU S Operative and non-operative management of children with abdominal gunshot injuries. Ulusal Travma ve Acil Cerrahi Dergisi. 2018; 24(1): 61 - 65.
IEEE	ARSLAN M,ZEYTUN H,ARSLAN S,BASUGUY E,OKUR M,AYDOGDU B,göya c,Uygun I,OTÇU S "Operative and non-operative management of children with abdominal gunshot injuries." Ulusal Travma ve Acil Cerrahi Dergisi, 24, ss.61 - 65, 2018.
ISNAD	ARSLAN, Mehmet Şerif vd. "Operative and non-operative management of children with abdominal gunshot injuries". Ulusal Travma ve Acil Cerrahi Dergisi 24/1 (2018), 61-65.