Missed injuries in patients with abdominal gunshot trauma: risk factors and mortality rates

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dc.authoridUgur, Mustafa/0000-0002-5922-2367
dc.contributor.authorUgur, M.
dc.contributor.authorAkkucuk, S.
dc.contributor.authorKoca, Y. S.
dc.contributor.authorOruc, C.
dc.contributor.authorAydogan, A.
dc.date.accessioned2024-09-18T20:29:29Z
dc.date.available2024-09-18T20:29:29Z
dc.date.issued2016
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractIntroduction The aim of this study was to investigate the incidence, risk factors, and mortality rates of injuries missed during laparotomy in patients with high-kinetic energy gunshot trauma. Methods The retrospective study included 20 patients who underwent relaparotomy due to high-kinetic energy gunshot trauma at our hospital between 2010 and 2015. Mechanism of injury, time between initial laparotomy and relaparotomy, the method of incision used for laparotomy during the initial laparotomy, the organs detected with missed injury, and the mortality rates were recorded. Results All the patients were male, with a mean age of 24.90 +/- 5.2 years. Missed injuries were markedly more common in the patients who underwent incomplete incision during the initial laparotomy (p < 0.05). Mortality occurred in 11 (55 %) patients. In these patients, time between laparotomy and relaparotomy was longer and the Injury Severity Score (ISS) was significantly higher compared to other patients (p < 0.05). Discussion A complete midline incision allowing optimal exposure should be performed in patients with penetrating abdominal trauma caused by high-kinetic energy gunshot. A systematic surgical exploration should be performed, including meticulous inspection of all the intraabdominal and retroperitoneal organs. Conclusion Damage control surgery (DCS) should be performed in patients with severe trauma and hemodynamic instability. Proper administration of DCS may lead to reduced incidence of missed injuries and thus may decrease the mortality rates.en_US
dc.identifier.doi10.1007/s10353-016-0411-7
dc.identifier.endpage351en_US
dc.identifier.issn1682-8631
dc.identifier.issn1682-4016
dc.identifier.issue6en_US
dc.identifier.scopus2-s2.0-84965025884en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage347en_US
dc.identifier.urihttps://doi.org/10.1007/s10353-016-0411-7
dc.identifier.urihttps://hdl.handle.net/20.500.12483/10882
dc.identifier.volume48en_US
dc.identifier.wosWOS:000390046700005en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherSpringer Wienen_US
dc.relation.ispartofEuropean Surgery-Acta Chirurgica Austriacaen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLaparotomyen_US
dc.subjectGunshot woundsen_US
dc.subjectAbdominal injuriesen_US
dc.subjectSurgeryen_US
dc.subjectComplicationsen_US
dc.titleMissed injuries in patients with abdominal gunshot trauma: risk factors and mortality ratesen_US
dc.typeArticleen_US

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