Importance of penetrating wounds of the gluteal region

Key Findings & Data:Results: One (2.3%) patient suffered a rectal injury, one (2.3%) a rectal injury plus ileum perforation, and one a sciatic nerve injury.

💡

Conclusion & Impact:Meticulous evaluation and suspicion of a major injury during examination should prevent misdiagnosis and ensure early effective treatment.

🔬Design:Review & Systematic Survey

📍Scope:Comprehensive Sample

⚙️Variables:Kaba etler · Ölüm oranı · Ameliyat sonrası komplikasyonlar

Abstract

Aim: Stab wounds of the gluteal region are uncommon injuries. These penetrating injuries can be potentially life-threatening. Thus, they deserve timely evaluation and interventional management. The purpose of this retrospective study was to evaluate our experience with this special type of injury. Methods: Fourty-two patients who had gluteal penetration were included in this study. Patients were retrospectively reviewed for demographic data, type of injury and additional injuries, management and outcome. Results: One (2.3%) patient suffered a rectal injury, one (2.3%) a rectal injury plus ileum perforation, and one a sciatic nerve injury. Rectal injuries were treated with primer repair by transanal route plus diverting colostomy, one with ileum repair and, one with sciatic nerve repair. There was no postoperative complication or mortality. Conclusions: Penetrating injuries of the gluteal area can be potentially life-threatening. Meticulous evaluation and suspicion of a major injury during examination should prevent misdiagnosis and ensure early effective treatment.

Özet

Amaç: Kesici alet yaralamasına bağlı gluteal bölge yaralanmaları nadirdir. Bu tarz penetran yaralanmalar hayati tehlike potansiyeli taşır. Bu nedenle bu özellikteki yaralanmaların zamanında değerlendirilmesi ve etkin tedavisi önemlidir. Çalışmamızın amacı bu tip yaralanmalardaki deneyimlerimizi sunmaktır. Yöntem: Gluteal bölge yaralanması olan 42 hasta çalışmaya alındı. Hastaların demografik bilgileri, yaralanma tipi, ek yaralanmalar, yapılan tedaviler ve sonuçları retrospektif olarak incelendi. Bulgular: Bir (%2.3) hastada sadece rektal yaralanma, bir (%2.3) hastada rektal yaralanmayla birlikte ileum yaralanması, bir (%2.3) hastada ise siyatik sinir yaralanması saptandı. Rektal yaralanmak olgulara transanal yolla primer onarım ile birlikte saptırıcı kolostomi, birine ayrıca ileum primer sütür, birinde siyatik sinir onarımı yapıldı. Postoperatif komplikasyon ve mortal'ıte gelişmedi. Sonuç: Gluteal bölgenin penetran yaralanmaları hayati tehlike potansiyeli taşır. Muayene sırasında major yaralanmadan şüphelenmek ve dikkatli gözlem tanı hatalarını önleyecektir ve erken etkin tedaviye olanak sağlayacaktır.

Keywords

Kaba etler Ölüm oranı Ameliyat sonrası komplikasyonlar Ameliyat sonrası dönem Geriyedönük çalışma Yaralar delici delici kesici alet Buttocks Mortality Postoperative Complications Postoperative Period Retrospective Studies Wounds Penetrating Stab

🔖

Cite This Article

KAMER, E., ÜNALP, H. R., ÖNAL, M. A., KARAHAN, Y., BÖREKÇİ, H., YILMAZ, Y. (2006). Importance of penetrating wounds of the gluteal region. İzmir Tepecik Eğitim Hastanesi Dergisi, Cilt: 16 - Sayı: 3, 119–122. https://ajindex.com/articles/268536

References (8)

Susmallian S, Ezri T, Elis M, Dayan K, Charuzi I, Muggia-Sullam M. Gluteal stab wound is a frequent and potentially dangerous injury. Injury 2005;36:148-50.
Feigenberg Z, Ben-Baruch D, Barak R, Zer M. Penetrating stab wound of the gluteus-a potentially life-threatening injury: case reports. J Trauma 1992; 33:776-8.
Rub R, Madeb R, Kluger Y, Chen T, Avidor Y. Posterior urethral disruption secondary to a penetrating gluteal injury, urology 2000;56:509. Makrin V, Sorene ED, Soffer D, Weinbroum A, Oron D, Kluger Y. Stab wounds to the gluteal region: a management strategy. J Trauma 2001;50:707-10.
Porter JM, Ursic CM. Digital rectal examination for trauma: does every patient need one? Am Surg 2001; 67:438-41.
Maull KI, Snoddy JW, Haynes BW Jr. Penetrating wounds of the buttock. Surg Gynecoi Obstet 1979; 149:855-7.
Fallon W, Reyna T, Brunner R, Crooms C, Alexander R. Penetrating trauma to the buttock. South Med J 1988;81:1236-8.
Ivatury RR, Rao PM, Nallthambi M, Guadino J, Stahl WM. Penetrating gluteal injuries. J Trauma 1982;22: 706-9.
Mercer DW, Buckman RF Jr, Sood R, Kerr TM, Gelman J. Anatomic considerations in penetrating gluteal wounds. Arch Surg 1992;127:407-10.