Journal Basic Info
- Impact Factor: 1.995**
- H-Index: 8
- ISSN: 2474-1647
- DOI: 10.25107/2474-1647
- Colon and Rectal Surgery
- Pediatric Surgery
- Oral and Maxillofacial Surgery
- Gastroenterological Surgery
- Gynecological Surgery
- Minimally Invasive Surgery
- Breast Surgery
- Ophthalmic Surgery
Citation: Clin Surg. 2016;1(1):1224.Research Article | Open Access
Department of General Surgery, General of Hospital General Universitario Gregorio Marañon, Spain
Introduction: Retained weapon injuries are unusual but present a diagnostic and therapeutic challenge. The aim of this study was to review our experience in the management of these patients. Material and
Methods: Retrospective review of patients with retained weapon injuries included in our Trauma Registry during a period of 21 years.
Results: Sixteen patients with retained weapon injuries were identified, 13 men and 3 women, with a median age of 45 years (25-88). Nine weapons were in the abdomen, three in the thorax, three in the head, and one in the neck. All patients were hemodynamically stable on admission, and the mean RTS and ISS were of 11.7 and 11, respectively. Surgical approaches included 8 laparotomies, 1 laparoscopy, 1 sternotomy, 1 VATS (video-assisted thoracic surgery), 2 craniotomies, 1 posterior neck exploration, and 2 simple extractions. There was one death, not directly related to the injury, in an 82 y.o. patient with a through-and-through cardiac wound. Conclusions: Despite their spectacular presentation most patients will be hemodynamically stable, allowing for consideration of minimally invasive techniques in selected patients. Their overall prognosis is good.
Cite the article
Obrador LZ, Dolores Perez Diaz M, Ayuso MC, Sanchez A. Retained Weapon Injuries: An Unusual Presentation with a Good Prognosis. Clin Surg. 2016; 1: 1224.