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Civilian gunshot injuries at the emergency department of a Nigerian teaching hospital: patient characteristics, pattern and outcome 2014-2018.
Pan Afr Med J
December 2024
World Health Organization, Abeokuta office, Abeokuta, Ogun State, Nigeria.
Gunshot injuries (GSI) are a major global public health problem. Our objective was to determine the patient characteristics, pattern and outcome of civilian gunshot wounds at the University College Hospital, Ibadan, Nigeria, from 2014-2018. The data of 232 patients with a diagnosis of GSI during the study period were collected and analyzed using descriptive and inferential statistics.
View Article and Find Full Text PDFSelective nonoperative management of abdominal gunshot wounds: What you need to know.
J Trauma Acute Care Surg
December 2024
From the Department of Surgery, University of Southern California, Los Angeles, California.
Since the 1990s, there has been a slow but steady adoption of selective nonoperative management (SNOM) for abdominal gunshot wounds (GSW). Multiple studies have shown that SNOM is feasible and can be performed safely, even at trauma centers with low penetrating trauma volumes. The principles of SNOM for abdominal GSW consists of (1) careful patient selection, (2) diagnostic workup with CT, and (3) clinical observation.
View Article and Find Full Text PDFInferior vena cava injuries: Are we doing what we really must?
Turk J Surg
June 2024
Division of Trauma, Department of Surgery, Campinas University Faculty of Medicine, Campinas, Brazil.
Objectives: The inferior vena cava (IVC) is one of the most frequent injured intra-abdominal vessels and its treatment requires prompt action. Despite advances in reanimation in last decades, there has not been proportional improvement in IVC mortality. This report aims to discuss the mortality predictive factors including the adherence to balanced reanimation and damage control surgery (DCS) in daily trauma assistance, their repercussions on outcomes, comparing our institution outcomes to literature.
View Article and Find Full Text PDFAppendicular Ureteroplasty for a Firearm Related Rupture of the Right Ureter.
Res Rep Urol
November 2024
Department of Surgery, Faculty of Medicine, Université Catholique de Bukavu (UCB), Bukavu, Democratic Republic of Congo.
One of the most challenging aspects of urology is restoring patency to ureters with long defects. In certain cases, it may not be feasible to perform plastic surgery on the ureter with its own tissue or bladder. In such instances, alternative solution like appendicular ureteroplasty may be promising solution.
View Article and Find Full Text PDFThoracic splenosis: Precision medicine can prevent thoracic surgery.
Respirol Case Rep
November 2024
Respiratory and Sleep Medicine South Western Sydney Local Health District Sydney New South Wales Australia.
Thoracic splenosis is a rare condition referring to the auto-transplantation of splenic tissue into the thoracic cavity following splenic trauma. We present a case of thoracic splenosis in a 62-year-old man who at the age of 17 suffered three gunshot wounds to the posterior thorax and abdomen, requiring a splenectomy and intercostal catheter insertion. In 2007, he underwent a thoracotomy and biopsy of a left sided pulmonary mass which was complicated by a haemothorax requiring an emergent return to theatre and rib resection to achieve haemostasis.
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