Abstract
Yüksek kinetik enerjili ateşli silahlarla meydana gelen abdominal yaralanmalarda ilk laparatomide gözden kaçan yaralanmalar özellikle savaş bölgelerinde sık karşılaşılan bir durumdur. En önemli sebebi yetersiz cerrahi eksplorasyon ve cerrahın deneyimsiz olmasıdır. Çok erken tespit edilerek tedavi edilenler dışında mortalite oranı yüksektir. Önlenmesi için yaralıların değerlendirilmesi ve eksplorasyonu sistematik bir şekilde yapılmalıdır. Hemodinamik olarak instabil olan yaralılarda hasar kontrol cerrahisi prensipleri uygulanmalıdır. Bu yazıda yüksek kinetik enerjili ateşli silahla abdominal bölgeden yaralanma sonrası laparotomi yapılan, ancak peritonit gelişmesi üzerine hastanemize gönderilen ve relaparatomide incebarsakta gözden kaçan yaralanma tespit edilen 21 yaşındaki erkek hastayı sunduk.
Anahtar kelimeler: Gözden kaçan yaralanma, Ateşli silah yaralanması, Hasar kontrol cerrahisi
References
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- Giannou C, Baldan M. Neglected or Mismanaged Wounds. In: Giannou C, Baldan M (editors). War Sur-gery Working with limited resources in armed conflict and other situations of violence. 1. Baskı, Switzerland: International Committee of the Red Cross;2010.p: 243-251.
- Akkucuk S, Aydogan A, Yetim I, Ugur M, Oruc C, Kilic E, et al. Surgical outcomes of a çivil war in a neighbou-ring country. J R Army Med Corps, 2015; doi: 10.1136/jramc-2015-000411.
Abstract
References
- Giannou C, Baldan M, Molde A. Injuries to Abdomen In: Giannou C, Baldan M, Molde A (editors). War Sur-gery Working with limited resources in armed conflict and other situations of violence. 1. Baskı, Switzerland: International Committee of the Red Cross;2010.p:421-82.
- Lee WC, Chen CW, Lin YK, Lin TY, Kuo LC, Cheng YC, et al. Association of head, thoracic and abdominal trau-ma with delayed diagnosis of co-existing injuries in criticaltrauma patients. Injury. 2014;45(9):1429-34.
- Scalea TM, Phillips TF, Goldstein AS, Sclafani SJ, Dun-can AO, Atweh NA, Shaftan GW. Injuries missed at operation: nemesis of the trauma surgeon. J Trauma. 1988;28(7):962-7
- Biffl WL, Kaups KL, Cothren CC, Brasel KJ, Dicker RA, Bullard MK, Haan JM, Jurkovich GJ, Harrison P, Moore FO, Schreiber M, Knudson MM, Moore EE. Manage-ment of patients with anterior abdominal stab wo-unds: a Western Trauma Association multicenter trial. J Trauma. 2009 May;66(5):1294-301.
- Giannou C, Baldan M. Neglected or Mismanaged Wounds. In: Giannou C, Baldan M (editors). War Sur-gery Working with limited resources in armed conflict and other situations of violence. 1. Baskı, Switzerland: International Committee of the Red Cross;2010.p: 243-251.
- Akkucuk S, Aydogan A, Yetim I, Ugur M, Oruc C, Kilic E, et al. Surgical outcomes of a çivil war in a neighbou-ring country. J R Army Med Corps, 2015; doi: 10.1136/jramc-2015-000411.
Details
| Journal Section | Case Report |
|---|---|
| Authors | |
| Publication Date | June 30, 2016 |
| Submission Date | July 14, 2015 |
| Published in Issue | Year 2016 Volume: 7 Issue: 26 |
