Our vascular surgery experiences in Syrian civil war
Journal Title: Dicle Tıp Dergisi - Year 2014, Vol 41, Issue 4
Abstract
Objective: Due to the ongoing civil war in Syria, numerous vascular injured patients are admitted to our hospital with gunshot wounds. In this study, patients who admitted our hospital, diagnosed with vascular trauma due to gunshot were evaluated with the respect of injury site, additional injuries, surgical interventions and outcomes. Methods: The study included 58 patients wounded in Syrian war and admitted to our hospital between 01.01.2012 and 01.09.2014. Results= There were 5.1% (n=3) female and 94.9% (n=55) male patients. Age range is 5-75 years and the average of age was identified as 28.61. In 12.1% (n=7) of patients with extensive tissue defects of the muscle-nerve-bone injury has been identified, despite the vascular interventions in these patients, 8.6% (n=5) of patients, the limb has been amputated. Totally 15.5% (n=9) of 58 operated patients died. Two patients died because of major vascular injury with intra-abdominal organ injuries. In one patient; infection induced sepsis and multi organ failure was detected. Six patients were lost due to hypovolemic shock as a result of late arriving. Conclusion: In patients admitted with gunshot vascular injury arrival time, the presence of additional injuries and the location of injury affect mortality rates. Key words: Civil war, vascular surgical, vascular injury
Authors and Affiliations
İyad Fansa, Celalettin Karatepe, Mehmet Acıpayam, Cem Lale
Keywords
Related Articles
- EP ID EP163233
- DOI 10.5798/diclemedj.0921.2014.04.0501
- Views 85
- Downloads 0
Orofarengeal kanamanın nadir bir sebebi: Dil kökü yerleşimli Kaposi sarkomu
Kaposi Sarkomu, sıklıkla immün yetmezlikli hastalarda, vasküler endotelin ve bağ dokusunun proliferasyonu şeklinde gözüken, yavaş seyirli nadir bir malignitedir. En sık görünümü cilt lezyonları olsa da, atipik lokasyonl...
Flexible endoscopic procedure in children with foreign bodies in their upper gastrointestinal system
Objective: Foreign body ingestion is an important public health problem. We pointed to this subject and aimed to determine the effectiveness of flexible endoscopic procedure in this study. Methods: We evaluated retro...
Evaulation of Matrix Metalloproteinase-2 and Matrix Metalloproteinase-9 Levels in Acute and Subacute Periods of Ischemic Stroke
Objective: Atherosclerosis and inflammatory mechanisms play an important role in the pathogenesis of cerebral ischemia. The activity of Matrix metalloproteinases (MMP) is essential for many of the processes involved in...
Kortikal gelişim bozukluğu ve epilepsi: Çocuklarda klinik, EEG ve nörogörüntüleme bulguları
Amaç:Bu çalışmada kortikal gelişim bozukluğu olan çocuklarda klinik özellikler ve tedavi bulguları arasındaki ilişkinin değerlendirilmesi amaçlanmıştır. Yöntemler:Kortikal gelişim bozukluğuna sahip 40 hastanın EEG bulgu...
Thoracal paravertebral block for breast surgery
Thoracic paravertebral block (TPVB) is an alternative method to general anesthesia because of provides a safe anesthesia with balanced hemodynamic response, allows postoperative pain control by means of catheter and h...