SavedAdd your journal

Journals / Ulusal Travma ve Acil Cerrahi Dergisi / 2009 / Cilt: 15 - Sayı: 2

Therapeutic approach in hemodynamically stable transmediastinal gunshot wounds

Hemodinamisi stabil transmediastinal ateşli silah yaralanmalarında tedavi yaklaşımı

Ahmet Sami BAYRAM
Murat BİÇER
Abdülkadir ERCAN
Cengiz GEBİTEKİN
Pages
194–197
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Before deciding on operation, diagnostic tests should be performed in hemodynamically stable patients with transmediastinal gunshot wounds.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Transmediastinal gunshot wounds may result in damage to the heart, large blood vessels, esophagus or lung.
📊
Key Findings & Data:In this paper, we present our experience with five patients, three of whom were operated for transmediastinal gunshot wounds after diagnostic tests; all were hemodynamically stable.
💡
Conclusion & Impact:Before deciding on operation, diagnostic tests should be performed in hemodynamically stable patients with transmediastinal gunshot wounds.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Mediasten · Erişkin · Erkek

Abstract

Transmediastinal gunshot wounds may result in damage to the heart, large blood vessels, esophagus or lung. In hemodynamically stable patients, diagnostic examinations have critical importance and the preferred therapies still have unresolved points. In this paper, we present our experience with five patients, three of whom were operated for transmediastinal gunshot wounds after diagnostic tests; all were hemodynamically stable. Before deciding on operation, diagnostic tests should be performed in hemodynamically stable patients with transmediastinal gunshot wounds.

Özet

Transmediastinal ateşli silah yaralanmaları hasta hayatını tehdit eden kalp, büyük damar, özofagus ve/veya akciğer gibi organların yaralanması ile sonlanabilir. Hemodinamik açıdan stabil olan hastalarda, tanıya yönelik incelemeler ve seçilecek tedavi yöntemleri tartışmalı noktalar içermektedir. Bu yazıda, hemodinamik açıdan stabil, transmediastinal ateşli silah yaralanması bulunan ve tanısal testler sonucunda üçü ameliyata alınan beş olgudaki deneyimlerimizi sunduk. Ameliyata karar vermeden önce hemodinamik açıdan stabil transmediastinal ateşli silah yaralanması olan olgularda tanısal testler sistematik olarak yapılmalıdır

🔖

Cite This Article

BAYRAM, A. S., BİÇER, M., ERCAN, A., GEBİTEKİN, C. (2009). Therapeutic approach in hemodynamically stable transmediastinal gunshot wounds. Ulusal Travma ve Acil Cerrahi Dergisi, Cilt: 15 - Sayı: 2, 194–197. https://ajindex.com/articles/324589

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (9)

  1. Harrahill M. Apatient with transmediastinal gunshot wound. J Emerg Nurs 2002;28:596-8
  2. Buck DG, Zajko AB, Peitzman AB. Transected subscapular artery in a transmediastinal gunshot wound presenting as a hemothorax: treatment with embolotherapy. J Tr a u m a 2000;48:322-4
  3. Nagy KK, Roberts RR, Smith RF, Joseph KT, An GC, Bokhari F, et al. Trans-mediastinal gunshot wounds: are “stable” patients really stable? World J Surg 2002;26:1247-50
  4. Stassen NA, Lukan JK, Spain DA, Miller FB, Carrillo EH, Richardson JD, et al. Reevaluation of diagnostic procedures for transmediastinal gunshot wounds. J Tr a u m a 2002;53:635-8
  5. Renz BM, Cava RA, Feliciano DV, Rozycki GS. Transmediastinal gunshot wounds: a prospective study. J Trauma 2000;48:416-22
  6. Richardson JD, Flint LM, Snow NJ, Gray LA Jr, Trinkle JK. Management of transmediastinal gunshot wounds. Surgery 1981;90:671-6
  7. McIntyre RC Jr, Moore EE, Read RR, Wiebe RL, Grover FL. Transesophageal echocardiography in the evaluation of a transmediastinal gunshot wound: case report. J Trauma 1994;36:125-7
  8. Khoynezhad A, Barrett L, Hayn E, Shaftan GW. Total mediastinal traverse with isolated internal mammary artery transection. J Card Surg 2004;19:136-8
  9. Borja AR, Ransdell HT. Treatment of penetrating gunshot wounds of the chest. Experience with one hundred forty-five cases. Am J Surg 1971;122:81-4.