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Journal of General Surgery

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Research Article

Review of the Penetrating Neck Injuries in 279 Patients, Analysis of a Single Institution

Jair Diaz-Martinez, Jessica Correa Marin and Raul Barros Gruezo

Correspondence Address :

Jair Diaz-Martinez, Hospital General de Mexico Dr Eduardo Liceaga, Mexico City. Email: diazjairmd@gmail.com

Received on: December 10, 2018, Accepted on: January 03, 2019, Published on: January 10, 2019

Citation: Jair Diaz-Martinez, Jessica Correa Marin, Raul Barros Gruezo (2019). Review of the Penetrating Neck Injuries in 279 Patients, Analysis of a Single Institution

Copyright: 2019 Jair Diaz-Martínez et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

  • Abstract

Abstract
Background: Penetrating neck trauma represents only 1.04% of all trauma injuries. In the civilian centers of trauma a mortality of 3% to 6% is reported. Currently, selective management is based on clinical exploration, detecting signs of vascular or air-digestive damage, regardless of the anatomical landmarks. The objective of this study is to perform an analysis of all penetrating neck injuries using as a guide the selective management.
Methods: A retrospective, observational and descriptive study was conducted from January 2012 to December 2014. All patients admitted to the emergency department with penetrating neck trauma were included. In all patients selective neck trauma management protocols were used.
Results: During the period studied, 326 patients were found in our records to be treated for penetrating neck injuries.279 completed the inclusion criteria and 47 left the analysis. The most frequent injuries in 54.8% (n = 153) were the stab wounds, followed by the gunshot wounds in 44.1% (n = 123). Penetrating trauma occurred in 63.4% (n = 177).
26.9% (n = 75) had added injuries. The Injury Severity Score (ISS) median was 7.The most frequent lesions were vascular lesions, 71.83% (n = 51). Surgical treatment was performed in 29.7% (n = 83). The percentage of negative explorations found was 7.5%. The mortality reported was 7.9%
Conclusion: Penetrating neck trauma remains a major cause of mortality. The severity of the injuries depends on the mechanism of injury found. Selective management of penetrating trauma of the neck is a valid tool in our trauma center, allowing the surgeon to individualize the intervention required in each case.

Keywords: Neck trauma, Penetrating, Neck injuries, Selective management