Open AccessSelective Approach in Managing Penetrating Neck Injury
Author(s) -
Haitham Abid Hammoud,
Raid Jasim Ahmed,
Ghassan Hikmat Majeed
Publication year - 2016
Publication title -
maǧallaẗ kulliyaẗ ṭibb al-kanadī
Language(s) - English
Resource type - Journals
eISSN - 2521-4365
pISSN - 1810-9543
DOI - 10.47723/kcmj.v12i2.298
Subject(s) - medicine , retrospective cohort study , mortality rate , epidemiology , incidence (geometry) , complication , surgery , head and neck , general surgery , injury prevention , poison control , emergency medicine , physics , optics
Background: Penetrating Neck Injuries (PNI) management represents a challenge to most surgeons in civilian trauma, in weighing selective versus mandatory exploration of all cases in different circumstances. Data are encouraging surgeons to adopt the former approach.Objectives: The study aims to assess the selective approach in our war and terror time events in Al-Yarmouk teaching hospital.Type of the study:A retrospective study. Methods: Data of patients presented to the Thoracic and Vascular ward in Al-Yarmouk teaching hospital with PNI were assessed retrospectively, from March 2013 to March 2015, and analyzed for epidemiology, mechanism of trauma, management methods, associated organ injuries, complications and mortality. Results: Among 83 patients (76 males and 7 females) who presented with PNI, the mean age was 28.5±15 years with a peak incidence in third decade. Shell injury (52.2%) was the most common mechanism and zone II was the most frequently injured (49.4%). Therapeutic exploration of neck in 82% of the cases, a decision of surgical exploration (87%) patients. Vascular injuries were the most identified neck structures (39.5%). Chest injuries (35%) were the most common associated injuries identified in patients who had additional anatomic region injury (41%) beside PNI. Complication rate of 18% and infection (26.6%) were most common and mortality rate was 8%. Conclusions: Still the selective approach is preferable in management of PNI in our war and terror time circumstances and limited resources of country.