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Revista Colombiana de Cirugía
Print version ISSN 2011-7582On-line version ISSN 2619-6107
Abstract
RAMIREZ-MORIN, Martín Alan et al. Penetrating cervical trauma: experience of a teaching hospital in Mexico. rev. colomb. cir. [online]. 2022, vol.37, n.3, pp.393-400. Epub Aug 03, 2022. ISSN 2011-7582. https://doi.org/10.30944/20117582.1285.
Introduction.
Penetrating cervical trauma is a rare entity, with an upward trend, of considerable morbidity and mortality. It is essential to acknowledge its management by surgeons in training, who are usually the providers in the emergency areas. The objective of this study was to demonstrate the experience of a trauma center in Mexico in the treatment of penetrating cervical trauma by surgeons in training.
Methods.
This was a retrospective study of patients diagnosed with penetrating cervical trauma who underwent cervical examination between 2014 and 2019; 110 records were identified, 26 were excluded due to lack of essential data for the analysis, and the data of 84 patients were included.
Results.
96.4% of the patients were men, the majority between 16 and 50 years old (83.3%) and the anatomic zone II was the most frequently injured (65.4%). The most common etiologies were stab wounds (67.9%) and gunshot wounds (25%). Ninety five percent of the procedures were performed by fourth- and fifth-year residents. The median number of days of hospital stay was 2 (2-4) days. The incidence of complications was 9.5% and mortality in 1.2%.
Conclusions.
General surgeons in the trauma training stage can optimally treat penetrating cervical trauma with the same morbidity and mortality rates described in the international literature.
Keywords : neck; wounds and injuries; trauma centers; General Surgery; graduate programs; surgical procedures; mortality.