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Paper| Volume 28, ISSUE 3, P195-197, April 1997

Gunshot injuries of the abdominal aorta: a continuing challenge

  • E. Degiannis
    Correspondence
    Requests for reprints should be addressed to: Mr E. Degiannis, Department of Surgery, Medical School, 7 York Road, Parktown 2193, Johannesburg, Republic of South Africa.
    Affiliations
    Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, Johannesburg, Republic of South Africa
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  • R.D. Levy
    Affiliations
    Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, Johannesburg, Republic of South Africa
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  • M.G.C. Florizoone
    Affiliations
    Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, Johannesburg, Republic of South Africa
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  • T.V. Badicel
    Affiliations
    Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, Johannesburg, Republic of South Africa
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  • M. Badicel
    Affiliations
    Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, Johannesburg, Republic of South Africa
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  • R. Saadia
    Affiliations
    Department of Surgery, Baragwanath Hospital, University of the Witwatersrand Medical School, Johannesburg, Republic of South Africa
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      Abstract

      This is a retrospective study of 57 patients with gunshot injuries of the abdominal aorta. The aortic repair was achieved by various means: lateral aortorraphy, patch aortoplasty and graft insertion. There was an 85 per cent mortality rate from bleeding or secondary coagulopathy directly related to the aortic injuries. The need for resuscitative thoracotomy, shock, lack of response to fluid resuscitation and intraperitoneal bleeding were directly related to mortality. We feel that shortening of prehospital transfer time will increase the absolute number of patients surviving this grave injury.
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