Transaxial gunshot injuries

Asher Hirshberg, Jacob Or, Michael Stein, Raphael Walden

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To define the clinical characteristics of gunshot injuries across the truncal midline (transaxial injuries). Design: A retrospective case-control study. Materials and Methods: Analysis of a consecutive series of 223 patients with gunshot injuries to the torso treated at one trauma center. Sixty-three patients with transaxial injuries were compared to 148 patients with unilateral bullet trajectories. Main Results: The incidence of cardiac (8%), vascular (17%), and spinal (29%) injuries and the mortality rate (29%) were significantly higher among the 63 patients with transaxial injuries compared with 148 patients with unilateral injuries. Initial operative access to the wrong visceral cavity (10%), missed injuries (14%), and early reoperations (19%) were also mute common in the transaxial group. Conclusions: A transaxial bullet trajectory identifies a distinct injury pattern associated with a high incidence of major visceral damage, intraoperative misadventures, and very high mortality.

Original languageEnglish
Pages (from-to)460-461
Number of pages2
JournalJournal of Trauma and Acute Care Surgery
Volume41
Issue number3
DOIs
StatePublished - Sep 1996
Externally publishedYes

Keywords

  • Gunshot injuries
  • Penetrating torso trauma

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