Liver trauma in children with Syrian Civil War: How should treatment management?

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dc.authorscopusid55622347300
dc.authorscopusid56192353000
dc.authorscopusid35867258900
dc.authorscopusid57197743368
dc.authorscopusid56251336100
dc.contributor.authorÇelıKkaya, Mehmet Emin
dc.contributor.authorAtici, Ahmet
dc.contributor.authorKorkmaz, İnan
dc.contributor.authorEl, Çiğdem
dc.contributor.authorAkçora, Bülent
dc.date.accessioned2024-09-19T15:43:48Z
dc.date.available2024-09-19T15:43:48Z
dc.date.issued2022
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractPatients with liver injuries should be considered multidisciplinary cases, and the decision to operate should be made according to each patient’s clinical and hemodynamic stability. In this study, we aimed to describe treatment management approaches and appropriate operation times for children with liver injuries resulting from the Syrian Civil War. A total 32 patients who were admitted to a pediatric surgery clinic between 2010 and 2020 with liver injuries resulting from Syrian Civil War were examined retrospectively. Patients were evaluated according to age, gender, type of injury, accompanying trauma, treatment modality, and mortality. A total of 21 patients were injured with shrapnel, while 11 patients suffered from blast effect injury. The mean pediatric trauma score of the patients was 5.2, while the mean pediatric trauma score of the six patients who died was 3.11. Liver suturing was performed in four patients due to bleeding. A segmentectomy was performed in one patient with active bleeding in segment 7. This bleeding was stopped by ligating the branches of the hepatic artery. Two patients who were operated on in Syria and to whom packing was applied due to uncontrolled bleeding were referred to Turkey. One patient with inferior vena cava injury died due to excessive blood loss and instability at the time of admission, and six patients died due to accompanying head trauma and/or multiple body trauma. The main purpose in emergency operations is to stop bleeding. Rarely, however, suturing or even segment resection in the bleeding area may be required. © 2022 Ondokuz Mayis Universitesi. All rights reserved.en_US
dc.identifier.doi10.52142/omujecm.39.3.15
dc.identifier.endpage674en_US
dc.identifier.issn1309-4483
dc.identifier.issue3en_US
dc.identifier.scopus2-s2.0-85142193851en_US
dc.identifier.scopusqualityQ4en_US
dc.identifier.startpage670en_US
dc.identifier.urihttps://doi.org/10.52142/omujecm.39.3.15
dc.identifier.urihttps://hdl.handle.net/20.500.12483/14573
dc.identifier.volume39en_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherOndokuz Mayis Universitesien_US
dc.relation.ispartofJournal of Experimental and Clinical Medicine (Turkey)en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectblast effecten_US
dc.subjectlacerationen_US
dc.subjectliveren_US
dc.subjectshrapnelen_US
dc.subjectSyrian Civil Waren_US
dc.titleLiver trauma in children with Syrian Civil War: How should treatment management?en_US
dc.typeArticleen_US

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