PMID: 8614053Apr 1, 1996Paper

Gunshot injuries of the sacrum

The Journal of Trauma
G P Naude, F S Bongard

Abstract

Gunshots to the sacrum are unusual and present several management problems. Associated injuries and particularly sacral bleeding are troublesome. Conventional methods of hemostasis are not suitable in this setting as the spinal blood supply is very complex because it is largely derived from the longitudinal spinal arteries originating intracranially. Attempts at proximal control are difficult and could lead to neurological injury. We successfully managed brisk bleeding in three patients with sacral gunshots. After the major intra abdominal hemorrhage had been controlled, attention was turned to the sacral wounds that had been packed with sponges up to that time. The sacral defect was closed with bone wax to control bleeding definitively. Methyl cellulose was then put over the bone wax and the periosteum of the sacrum and posterior peritoneum (mobilized if necessary), sutured over the methyl cellulose. Post operatively the patients are carefully monitored for developing neurological deficit that would necessitate immediate sacral laminectomy and decompression. We advocate tamponading of the sacral wound with bone wax, covered by methyl cellulose and kept in place and held firm by the periosteum and posterior peritoneum sutured o...Continue Reading

References

Jun 1, 1979·Southern Medical Journal·E SixJ M McWhorter
Dec 1, 1988·The Journal of Trauma·R G Fisher
Feb 1, 1995·The Journal of Trauma·R D LevyR Saadia

❮ Previous
Next ❯

Citations

Mar 16, 2004·The Spine Journal : Official Journal of the North American Spine Society·Christopher M Bono, Robert F Heary
Apr 30, 2014·Spinal Cord·T E P de Barros FilhoR Bilhar

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.