Penetrating Heart Injuries and Common Difficulties Encountered During Emergency Surgery

Mahmut Tokur, Mehmet Ergin, Can Kurkcuoglu

Abstract


Background: Penetrating heart injuries are seldom but are highly lethal traumas. In-house cardiac surgery teams and adequate technical equipment are generally not found outside of major health institutions in Turkey. We evaluate the diagnosis and treatment of penetrating heart injuries, the difficulties encountered during surgical treatment of such conditions as well as problems faced by hospitals with limited cardiac surgery manpower and lacking adequate equipment to deal with such incidents.

Methods: The diagnosis of ‘penetrating heart injury’ between 1 January 2008 and 31 December 2009 was scanned through hospital data processing system. Eleven patients presenting to Kahramanmaras State Hospital were retrospectively evaluated.

Results: Three (26%) of the patients presented with signs of hypovolemia, four (37%) with progressive shock and four (37%) with shallow respiration in addition to progressive shock. The etiology of the injuries were edged and sharp objects in 9 (82%) cases, puncture from a fractured sternum and/or ribs in 2 (18%) case. The total mortality was 63% in our case series.

Conclusion: Cardiac injuries are the types of trauma that require rapid surgical intervention. However, combination of a lack of specialized surgical teams and/or the time for rapid intervention at the initial health care facility reduces the possibility of surviving patient.




doi:10.4021/jcs86w


Keywords


Emergency surgery; Heart injury; Penetrating trauma

Full Text: HTML PDF
 

Browse  Journals  

     

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 

 

 

 

Journal of Current Surgery, quarterly, ISSN 1927-1298 (print), 1927-1301 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.currentsurgery.org   editorial contact: editor@currentsurgery.org
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.