| Ballistic trauma to the abdomen: shell fragments versus bullets. | |
| | |
MedLine Citation:
|
PMID: 2030519 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
Two-hundred ninety-nine patients who sustained penetrating ballistic trauma to the abdomen were divided into two groups: Group A consisted of 133 patients with shell fragment injuries from mortar artillery and Group B of 166 patients with bullet injuries from rifles and automatic or semiautomatic weapons. Both groups were analyzed retrospectively in order to compare the extent of injury and outcome. In Group A, the findings at laparotomy were negative in 15 of 133 patients (10%) compared with 9 of 166 patients (5%) in Group B (p less than 0.05). The most commonly injured abdominal organs in Group A were the colon (42%), liver (22%), small bowel (20%), stomach (14%), diaphragm (11%), spleen (10%), major vessels (40%) [corrected], and kidney (9%). The abdominal organs commonly injured in Group B were the colon (50%), small bowel (41%), liver (33%), major vessels (20%), diaphragm (17%), stomach (15%), spleen (15%), and kidney (15%). Associated extra-abdominal injuries were present in 26% of Group A patients and in 21% of Group B patients (p greater than 0.05) [corrected]. Major postoperative complications occurred in 7.5% and 8.4% of the patients in Group A and Group B, respectively (p less than 0.05). Perioperative mortality was 2.3% in Group A versus 7.2% in Group B (p less than 0.01). Our data suggest that high energy bullets to the abdomen cause higher tissue penetration and a greater blast effect than shell fragments. |
| | |
Authors:
|
B A Georgi; M Massad; M Obeid |
Related Documents
:
|
22538759 - Prognostic value of electroencephalography and evoked potentials in the early course of... 22498759 - Reduced perfusion in pulmonary infiltrates of high-risk hematologic patients is a possi... 20086439 - Pneumomediastinum from sports-related trauma: key findings and recommendations. 22187709 - Endomicroscopy for assessing mucosal healing in patients with ulcerative colitis. 19032889 - Outcome of acute traumatic extradural hematoma. 3177029 - Elevated intracranial pressure associated with hypermetabolism in isolated head trauma. 7311989 - Limb myokymia. 22249289 - Patterns of white matter diffusivity abnormalities in leber's hereditary optic neuropat... 11315119 - Factor v leiden and its relation to left ventricular thrombus in acute myocardial infar... |
Publication Detail:
|
Type: Comparative Study; Journal Article |
Journal Detail:
|
Title: The Journal of trauma Volume: 31 ISSN: 0022-5282 ISO Abbreviation: J Trauma Publication Date: 1991 May |
Date Detail:
|
Created Date: 1991-06-19 Completed Date: 1991-06-19 Revised Date: 2006-11-15 |
Medline Journal Info:
|
Nlm Unique ID: 0376373 Medline TA: J Trauma Country: UNITED STATES |
Other Details:
|
Languages: eng Pagination: 711-5; discussion 715-6 Citation Subset: AIM; IM |
Affiliation:
|
Department of Surgery, American University, Beirut Medical Center, Lebanon. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Abdominal Injuries
/
classification,
mortality,
surgery* Adolescent Adult Aged Child Child, Preschool Female Humans Laparotomy Lebanon / epidemiology Male Middle Aged Outcome and Process Assessment (Health Care)* Postoperative Complications / etiology Retrospective Studies Wounds, Gunshot / classification, mortality, surgery* |
| Comments/Corrections | |
Erratum In:
|
J Trauma 1991 Sep;31(9):iv |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Traumatic facial injuries with steering wheel loading.
Next Document: Argon beam coagulation is superior to conventional techniques in repair of experimental splenic inju...