Ulusal Travma ve Acil Cerrahi Dergisi
Volume 20, Issue 5, 2014, Pages 371-375

A practice report of bladder injuries due to gunshot wounds in Syrian refugees [Suriyeli mültecilerde ateşli silah yaralanmalarından dolayı mesane yaralanmalarındaki tecrübelerimiz] (Article) (Open Access)

Inci M.* , Karakuş A. , Rifaioglu M.M. , Yengil E. , Atçi N. , Akin Ö. , Tuzcu K. , Kiper A. , Demirbaş O. , Şahan M.
  • a Department of Urology, Mustafa Kemal University, Antakya, Turkey
  • b Department of Emergency Medicine, Mustafa Kemal University, Antakya, Turkey
  • c Department of Urology, Mustafa Kemal University, Antakya, Turkey
  • d Department of Family Medicine, Mustafa Kemal University, Antakya, Turkey
  • e Department of Radiology, Mustafa Kemal University, Antakya, Turkey
  • f Department of Urology, Hatay State Hospital, Antakya, Turkey
  • g Department of Anesthesiology, Mustafa Kemal University, Antakya, Turkey
  • h Department of Urology, Mustafa Kemal University, Antakya, Turkey
  • i Department of Urology, Mustafa Kemal University, Antakya, Turkey
  • j Department of Emergency Medicine, Mustafa Kemal University, Antakya, Turkey

Abstract

Background: This study was intended to report our recent experience of bladder injuries due to gunshots in the Syrian conflict and review the literature regarding diagnosis and treatment.Methods: Twenty-two cases with abdominal and inguinal firearm wounds and bladder ruptures sustained in the Syrian conflict were reported. Age, mechanism/location of damage, associated injuries, Revised Trauma Score (RTS), Injury Severity Score (ISS), Trauma Injury Severity Score (TRISS), and complications were analyzed. The severity of the bladder injuries was classified according to the American Association for the Surgery of Trauma Organ Injury Scaling (AAST-OIS grade ≥II database).The type of the bladder rupture was defined according to the classification System for Bladder Injury Based on Findings at CT Cystography.Results: The mean age was 26 years (range, 18–36). The mean ISS was 22 (10–57), mean TRISS was 0.64 (0.004–0.95), and mean RTS was 6.97 (3.30–7.84). In the mortality group, the mean ISS, TRISS, and RTS were 48 (36–57), 0.016 (0.004–0.090), and 4.10 (3.30– 4.92), respectively; whereas, the mean ISS, TRISS, and RTS were found as 21 (10–26), 0.64 (0.49–0.95), and 7.24 (5.65–7.84), respectively in the survival group (P=0.06). CT-cystography showed seventeen type 2, three type 4, and two type 5 bladder injuries. According to AAST-OIS, there were nine grade IV, six grade III, five grade II, and two grade V injuries.Conclusion: In war settings, when injuries are often severe and multiple surgical exploration and closure are mandatory, mortality risk is associated with high ISS and low TRISS and RTS values. © 2014, TJTES.

Author Keywords

Gunshot wounds Bladder injuries Syrian refugees

Index Keywords

injuries debridement blood clotting disorder refugee urinary tract infection survival named inventories, questionnaires and rating scales Syrian Arab Republic complication human cephalosporin Refugees length of stay ethnology laparotomy Young Adult Humans Adolescent male female clinical article Article Retrospective Studies cystography bladder rupture cystostomy catheter bladder adult advanced trauma life support care Injury Severity Score american association for the surgery of trauma organ injury scale pneumonia Syria Turkey Firearms bladder injury Abdominal Injuries Wounds, Gunshot revised trauma score injury scale surgical approach disease severity hematoma gunshot injury trauma injury severity score retrospective study Glasgow coma scale urinary tract fistula transvesical approach firearm postoperative complication systolic blood pressure pelvic hematoma breathing rate thromboembolism Urinary Bladder mortality
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84908037202&doi=10.5505%2ftjtes.2014.13693&partnerID=40&md5=b82493cd57de72d5f3511603b2a400a1
DOI: 10.5505/tjtes.2014.13693
ISSN: 1306696X
Cited by: 3
Original Language: English