AI Summary & Key Takeaways
AI InsightIn these injuries, a high index of suspicion, repeated careful clinics and ingiographic eva¬luation, and agressive surgical management are mandatory to achive a low morbidity and mortality.
📌 3 Key Takeaways
Abstract
Penetrating gluteal injuries are neglected in the surgical literature despite their potential life-threating trauma. In our department, seven patients with penetrating gluteal injury were managed surgically in the last eight years pri-ods. All of the patients were male and their mean ages were 39.2. All but one patients were injuried by knife stab. The unjuring was located on the eright gluteal rigion in four cases and the left gluteal regon in three. Hemorrhage was manifest symptom. Two patients (28.7%) admitted with hypovolemic shock..The most injuried artery was su¬perior gluteal artery and its branches (719). Internal iliac artery was also injuried in a case. Unique surgical mana¬gement was a ligation of bleeding vessel. No death except one petient who had admitted because of exsanguina-tion due to stab wound. In these injuries, a high index of suspicion, repeated careful clinics and ingiographic eva¬luation, and agressive surgical management are mandatory to achive a low morbidity and mortality.
Özet
Penetran gluteal yaralanmalar, yaşamı tehdit eden potansiyel bir travma olmasına karşın cerrahi literatürde pek önemsenmez. Anabilim Dalı'mızda, son sekiz yıllık peryotta penetran gluteal travmalı yedi olgu cerrahi olarak te¬davi edildi. Olguların hepsi erkekti ve yaş ortalamaları 39.2 idi. Biri dışında hepsi delici kesici aletle yaralanmış idi. Yaralanma dördünde sağ, üçünde sol gluteal bölgeye lokalizeydi. Kanama manifest semptomdu. İki (%28.7) olgu hipovolemik şoktu kabul edilmişti, en sık yaralanan arter superior gluteal arter ve dalıydı (%71). Bu olguda inter¬nal iliak arter yaralanmıştı. Kanayan damarın ligasyonu tek cerrahi tedaviydi. Kabulde bıçaklanmaya bağlı kan kay¬bından ölen bir olgu dışında diğer olgular şifa ile taburcu edildiler. Bu yaralanmalarda düşük morbidite ve mortali¬te sağlamak için, yinelenmiş dikkatli klinik ve anjiyografik değerlendirme ve acil cerrahi tedavi zorunludur.