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Abstract
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Introduction The effect of the surgical approach and the duration between the trauma and surgery on the complications, morbidity, and mortality in cranial and spinal penetrating gunshot injuries are investigated.
METHODS Evaluation of 63 patients from the Libyan civil war who were referred to the stanbul Yeni Yüzy l University Gaziosmanpa a Hospital neurosurgery clinic for the treatment and surgery between 2015 and 2017.
RESULTS Complications such as meningitis, superficial infection, and abscess developed in 31% of the patients who underwent surgery within the initial 24h, 58% of the patients who underwent surgery between 24 and 72h and in all patients who underwent surgery after 72h. While an improvement was seen in all 14 patients who had preoperative paresis and underwent surgery within 24h or between 24 and 72h, only one of the six patients who had paresis and underwent surgery after 72h improved. One of the patients who underwent surgery within 24h, three of those who underwent surgery between 24 and 72h, and four of those who underwent surgery after 72h died.
CONCLUSION The complications, morbidity, and mortality increase with a prolonged duration between the injury and surgery after craniospinal gunshot wounding.
Language: en |