Sirko, A.G. (2017) Difficult Cases in Surgery of Gunshot Wounds to the Skull and Brain - A Single Center Experience. Turkish Neurosurgery, Sup.27. pp. 574-575. ISSN 1019-5149 (Print), 1019-5149 (Linking)
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Abstract
Aim: To analyze the results of treatment of patients with difficultcombat traumatic brain injuries caused by a gunshot (gTBI), todevelop practical recommendations for their treatment on the basisof personal experience and analysis of literature sources.Method: The results of treatment of 2,120 wounded May 2014 toJanuary 2017 have been analyzed. Combat gTBIs were diagnosedin 160 patients. The following groups have been referred to severegTBIs: А. By the kind of the wounding shell: bullet, multiplefragmentation mine and explosive brain injuries, B. By the natureof the wound canal: diametrical, diagonal. С. By the location of thewound canal: bilateral, transventricular, transbasal, penetratingwounds with the injury of paranasal sinuses. D. By the presenceof severe structural injuries of the brain substance: injuries ofsubcortical ganglia, brain stem, and cerebellum, extended loci ofbrain contusion and crushing, multiple loci of brain contusion andcrushing. E. By the presence of injuries of functionally importantbrain vessels: main arteries (trunks and their major branches).venous sinuses.Results: Difficult severe injuries were diagnosed in 74 (46.25%)patients out of 160 cases of combat gTBIs. 18 patients out of160 patients with gTBIs died. Mortality comprised 11.25%. Themortality rate for severe combat gTBIs is 24.3%.Conclusion: Detection at the stage of diagnosing of severe combatgTBIs takes surgical tactics and intensive therapy into the rightdirection in accordance with developed practical recommendations.
| Item Type: | Article |
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| Additional Information: | 16th World Congress of Neurosurgery, 20-25 August, Istanbul, Turkey, 2017. - Abstract book of 16th World Congress of Neurosurgery. - EP-0924. - P. 574-575 |
| Uncontrolled Keywords: | Combat traumatic brain injures, Gunshot wounds, Difficult cases, Surgery, Single center experience, Practical recommendations |
| Subjects: | Neurosurgery |
| Divisions: | Faculty of Postgraduate Education > Department of Neurology and Neurosurgery FPE |
| Depositing User: | Елена Шрамко |
| Date Deposited: | 10 Jul 2018 07:05 |
| Last Modified: | 10 Jul 2018 07:05 |
| URI: | http://repo.dma.dp.ua/id/eprint/2950 |
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