Treatment of war-related penetrating brain injury during Syrian conflict : importance of debridement and meticulous closure
المؤلف
المصدر
Suez Canal University Medical Journal
العدد
المجلد 16، العدد 1 (30 يونيو/حزيران 2013)، ص ص. 18-28، 11ص.
الناشر
تاريخ النشر
2013-06-30
دولة النشر
مصر
عدد الصفحات
11
التخصصات الرئيسية
الموضوعات
الملخص EN
Background : Principles of treating war-related penetrating brain injury had been developed long time ago.
Some neurosurgeons advocate the traditional surgical repair with thorough debride-ment and tight closure especially the dura.
Other minimalists prefer simple wound closure.
Aim: Presentation of 28 patients with penetrating brain injury who had been surgically treated during Syrian conflict.
The author reviews related literature and compares between minimal and tradi-tional approaches.
Methods: A descriptive study of 28 patients who had been operated in North Syria during March-April 2013.
Operative technique included thorough debridement, removal of accessible in-driven bone fragments and foreign bodies, hemostasis, water-tight repair of the du-ra and scalp closure.
Karnofsky score and Glasgow Outcome scale were used for outcome as-sessment.
Results: We performed 30 operations for 28 patients (24 males / 4 females).
Age was 22 ± 15 years (range 3-55).
At admission, Glasgow Coma Score of 15-13 was (35.7 %), 12-9 was (21.4 %), and 8-3 was (42.9 %).
Outcome evaluation after 1 month showed good recovery in (39.3 %), moder-ate recovery in (21.4 %), severe disability in (28.6%), vegetative status in (3.6 %), and death of 2 (7.1 %).
Complications were very minor (10.7 % superficial infection).
Two patients needed reoperation; 1 for bullet removal and the other for evacuation of collected hematoma.
Conclusion: Minimal brain debridement is more likely to require an additional debridement and may results in higher inci-dence of life-threatening CSF leak or fatal meningitis.
Adequate debridement, removal of bone chips, foreign bodies, and tight closure of the dura should be performed in penetrating brain inju-ry.
نمط استشهاد جمعية علماء النفس الأمريكية (APA)
al-Shatury, Hasan A.. 2013. Treatment of war-related penetrating brain injury during Syrian conflict : importance of debridement and meticulous closure. Suez Canal University Medical Journal،Vol. 16, no. 1, pp.18-28.
https://search.emarefa.net/detail/BIM-570192
نمط استشهاد الجمعية الأمريكية للغات الحديثة (MLA)
al-Shatury, Hasan A.. Treatment of war-related penetrating brain injury during Syrian conflict : importance of debridement and meticulous closure. Suez Canal University Medical Journal Vol. 16, no. 1 (2013), pp.18-28.
https://search.emarefa.net/detail/BIM-570192
نمط استشهاد الجمعية الطبية الأمريكية (AMA)
al-Shatury, Hasan A.. Treatment of war-related penetrating brain injury during Syrian conflict : importance of debridement and meticulous closure. Suez Canal University Medical Journal. 2013. Vol. 16, no. 1, pp.18-28.
https://search.emarefa.net/detail/BIM-570192
نوع البيانات
مقالات
لغة النص
الإنجليزية
الملاحظات
Includes bibliographical references : p. 27-28
رقم السجل
BIM-570192
قاعدة معامل التأثير والاستشهادات المرجعية العربي "ارسيف Arcif"
أضخم قاعدة بيانات عربية للاستشهادات المرجعية للمجلات العلمية المحكمة الصادرة في العالم العربي
تقوم هذه الخدمة بالتحقق من التشابه أو الانتحال في الأبحاث والمقالات العلمية والأطروحات الجامعية والكتب والأبحاث باللغة العربية، وتحديد درجة التشابه أو أصالة الأعمال البحثية وحماية ملكيتها الفكرية. تعرف اكثر