KARINA YÖNELÝK ATEÞLÝ SÝLAH YARALANMALARI: 164 OLGUNUN RETROSPEKTÝF ANALÝZÝ

Þýrnak 30 Yataklý Seyyar Cerrahi hastanesinde karýna yönelik ateþli silah yaralanmasý nedeniyle ameliyat edilen 164 olgu retrospektif olarak deðerlendirildi. Yüzyirmidokuz olguda izole abdominal yaralanma mevcut iken, 28 olguda karýn yaralanmasýna toraks yaralanmasý da eþlik etmekteydi. Olgularýn 7si nanterapötik laparotomi olarak deðerlendirildi. Yaralanma ile acil servise baþvuru arasýnda geçen süre olgularýn %69'unda 2 saatten azdý. Olgularda en sýk yaralanan ilk 3 organýn ince barsak (67 olgu), kolon (63 olgu) ve karaciðer (49 olgu) olduðu gözlendi. Postoperatif dönemde 34 olguda (%20.7) komplikasyon gözlenirken, 10 olguda (%6) ölümle sonuçlandý. Geliþen teknoloji ve ameliyat tekniklerine raðmen, ateþli silah yaralanmalarý yüksek morbidite ve mortalite oranlarý ile günümüzde de önemini korumaktadýrlar.

ABDOMINAL GUNSHOT WOUNDS: RETROSPECTIVE ANALYSIS OF 164 PATIENTS

The medical reports of 164 patients who were operated for abdominal gunshot wounds at Þýrnak Military hospital were reviewed retrospectively. One hundred and twenty-nine patients had isolated abdominal injury whereas, 28 had associated thoracic injuries. Seven of these laparotomies revealed no intraperitoneal injury and were considered as non-therapatic lapamtomy. The time for transportation to the emergency department were less than 2 hours in 69% of the patients. The most commonly injured organs were the small bowel in 67, the colon in 63 and the liver in 49 patients. Postoperative complications occurred in 34 patients (20.7%) and mortality rate was 6% (10 patients). In spite of the developing technology and operative techniques, gunshot wounds are still very important with high morbidity and mortality rates.