Indications for bullet removal: overview of the literature, and clinical practice guidelines for European trauma surgeons

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
T DienstknechtT C Hardcastle

Abstract

The incidence of gunshot wounds from civilian firearms is increasing. Despite this fact, guidelines on indications for bullet removal are scarce. In this analysis, we combine an overview of the available literature in these rare entities with our experiences in our own clinical practices. We conducted a systematic literature search of computerized bibliographic databases (Medline, EMBASE, and the Cochrane Central Register). The local experience of the authors was reviewed in light of the available literature. 145 full-text articles were suitable for further evaluation. Only six retrospective studies were available, and no prospective study could be retrieved. Most of the articles were case reports. In the South African co-author's own clinical practice, approximately 800 patients are treated per year with gunshot wounds. In summary, there are only a few clear indications for bullet removal. These include bullets found in joints, CSF, or the globe of the eye. Fragments leading to impingement on a nerve or a nerve root, and bullets lying within the lumen of a vessel, resulting in a risk of ischemia or embolization, should be removed. Rare indications are lead poisoning caused by a fragment, and removal that is required for a medi...Continue Reading

References

Jan 1, 1990·Journal of Orthopaedic Trauma·W B GeisslerJ L Hughes
Oct 1, 1987·The Journal of Trauma·F L ShannonF A Moore
Apr 1, 1984·The Journal of the American Paraplegia Society·R L Waters
Apr 7, 1999·Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine·S E FarrellD C Lee
Dec 29, 2000·The Journal of Trauma·M Veselko, R Trobec
Mar 5, 2003·Clinical Orthopaedics and Related Research·Robert L Waters, Ien H Sie
Oct 7, 2003·Eye·T Lavy, S Abu Asleh
Mar 23, 2004·American Journal of Epidemiology·Joseph L McQuirterAndrew C Todd
May 29, 2004·Ophthalmic Plastic and Reconstructive Surgery·Viet H HoBarrett G Haik
May 27, 2005·The British Journal of Surgery·J A O Omoshoro-JonesD H Kahn
Jan 21, 2006·Journal of Orthopaedic Trauma·Vijay BorraIvan F Rubel
Nov 7, 2006·Annals of Vascular Surgery·Rodolphe NguyenMichel Deneuville
Jun 15, 2007·Arthroscopy : the Journal of Arthroscopic & Related Surgery : Official Publication of the Arthroscopy Association of North America and the International Arthroscopy Association·Mahir MahirogullariAhmet Kiral
Jun 19, 2007·International Journal of Surgery·Stylianos GermanosNikolaos Salemis
Mar 28, 2008·Der Unfallchirurg·P KobbeH Reilmann
May 26, 2009·São Paulo Medical Journal = Revista Paulista De Medicina·Paulo Roberto de MadureiraSuely Moreira Mello
Jul 23, 2009·Annals of Internal Medicine·David MoherUNKNOWN PRISMA Group
Dec 1, 2009·Journal of Vascular and Interventional Radiology : JVIR·Kevin L KeeleBryan K Lee
Jan 30, 2010·Spine·Alexandre F CristanteRaphael M Marcon
Jul 22, 2010·The Journal of Craniofacial Surgery·Plínio Duarte MendesMarcus André Acioly
Nov 4, 2010·The Journal of Trauma·Saqib RehmanSiddharth Joglekar
Nov 17, 2010·Southern Medical Journal·Bhavya Rehani, Robert Wissman

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Citations

Aug 26, 2014·Archives of Trauma Research·Mohammad MoazeniMalihe Darvishi
May 7, 2014·Chirurgie de la main·L MathieuS Rigal
Jan 19, 2016·International Orthopaedics·Nicolas de l'EscalopierSylvain Rigal
Jan 16, 2016·Case Reports in Otolaryngology·David BächingerRoman D Laske
Jun 10, 2015·Journal of Zoo and Wildlife Medicine : Official Publication of the American Association of Zoo Veterinarians·Elise E B LaDouceurTabitha Viner
Aug 2, 2017·Journal of Occupational and Environmental Medicine·Joanna M GaitensMelissa A McDiarmid
Mar 22, 2019·The Journal of the American Academy of Orthopaedic Surgeons·Reza OmidGeoffrey S Marecek
May 7, 2020·Journal of Interpersonal Violence·Randi N SmithMark J Seamon
May 1, 2020·Journal of Surgical Case Reports·Timothy M GuentherGarth H Utter
Oct 10, 2020·Journal of Orthopaedic Surgery and Research·Raif ÖzdenVedat Uruç
Apr 10, 2021·Annals of Vascular Surgery·Dustin TranRalph Guarneri
Apr 23, 2021·Hand : Official Journal of the American Association for Hand Surgery·Navapong AnantavorasakulKyle R Eberlin
Nov 10, 2020·Journal of Obstetrics and Gynaecology Canada : JOGC = Journal D'obstétrique Et Gynécologie Du Canada : JOGC·Xinjue Rachel WangRebecca Rich
May 21, 2021·QJM : Monthly Journal of the Association of Physicians·Ju-Shao Yen, Tzung-Hai Yen
Jun 25, 2021·Surgical Case Reports·J Alford FlippinAlaina M Lasinski
Jun 20, 2021·American Journal of Surgery·Erin G AndradeL J Punch
Mar 30, 2019·Journal of Vascular Surgery·Anderson H KuoSandhya Vinu-Nair
Aug 12, 2021·Turkish Journal of Emergency Medicine·Bárbara Lôbo de FigueirêdoOlival Cirilo Lucena da Fonseca Neto

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