PMID: 8614075May 1, 1996Paper

Transcervical gunshot injuries: mandatory operation is not necessary

The Journal of Trauma
D DemetriadesT V Berne

Abstract

It has been suggested that all transcervical gunshot wounds should be explored surgically because of the high incidence of injuries to vital structures. The present prospective study investigated the clinical presentation, the role of various diagnostic investigations, and the need for surgery in patients with transcervical gunshot injuries. Ninety-seven patients sustained gunshot injuries to the neck and 33 of them (34%) were transcervical. All victims were assessed clinically according to a written protocol and subsequently were evaluated angiographically, and, in the appropriate case, by means of endoscopy and esophagography. Overall, 24 (73%) of the 33 patients with transcervical gunshot wounds had injuries to cervical structures. Vascular injuries were found in 48%, spinal cord injuries in 24%, and aerodigestive tract injuries in 6% of patients with transcervical injuries. In the 64 patients without midline crossing, the incidence of cervical structure injuries was 31%. Despite the high incidence of injuries to cervical structures in transcervical wounds, only 21% of the patients had a therapeutic operation. The overall mortality was 3%. There were no in-hospital deaths or local complications in the nonoperatively managed ...Continue Reading

References

Nov 1, 1994·World Journal of Surgery·J P Apffelstaedt, R Müller
Mar 1, 1994·American Journal of Surgery·A HirshbergK L Mattox
Jan 1, 1996·The British Journal of Surgery·D DemetriadesT V Berne

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Citations

Jan 20, 2006·Dento Maxillo Facial Radiology·M BumbasirevićM Djurić
Dec 18, 2013·Child's Nervous System : ChNS : Official Journal of the International Society for Pediatric Neurosurgery·Josué M Avecillas-ChasinLuis Gómez-Perals
Oct 22, 2008·World Journal of Surgery·Max ThomaAndrew J Nicol
May 1, 1997·Chest Surgery Clinics of North America·R B Bastos, G M Graeber
Mar 10, 2001·The Journal of Trauma·J A AsensioUNKNOWN American Association for the Surgery of Trauma
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Jul 10, 2007·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·E PlottT Levoyer
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Nov 3, 2010·American Journal of Otolaryngology·Syed Majid Hussain Zaidi, Rauf Ahmad
Mar 23, 2002·The Surgical Clinics of North America·Douglas M G BowleyKenneth D Boffard
Mar 28, 2012·The British Journal of Surgery·O J Van WaesJ Vermeulen
May 13, 2008·The Journal of Trauma·Samuel A TishermanPeter Rhee
Nov 13, 2007·The Journal of Trauma·James T WuMatthew J Wall
Apr 12, 2012·The Journal of Trauma and Acute Care Surgery·Kenji InabaDemetrios Demetriades
Sep 7, 2017·Current Opinion in Otolaryngology & Head and Neck Surgery·Elisa IllingCecelia E Schmalbach
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Sep 17, 2013·Diseases of the Esophagus : Official Journal of the International Society for Diseases of the Esophagus·M MakhaniF K Friedenberg
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Mar 13, 1998·Emergency Medicine Clinics of North America·J L KendallD Demetriades
Feb 24, 2007·Current Problems in Surgery·Demetrios DemetriadesPeter Rhee

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