Table 6.
Management
Management | Type of operative intervention | GSW (n=58) | SW (n=452) |
---|---|---|---|
Operative or endovascular intervention | |||
For PNI | 10 (17.2%) | 98 (21.7%) | |
Endovascular | 0 (0%) | 7 (7.1%) | |
Tracheostomy without exploration | 2 (20.0%) | 0 (0%) | |
Neck exploration | 7 (70.0%) | 70 (71.4%) | |
Thoracoscopy for retained haemothorax | 0 (0%) | 2 (2.0%) | |
Local wound exploration /debridement or incision and drainage | 1 (10.0%) | 6 (6.1%) | |
Sternotomy / thoracotomy as primary exposure | 0 (0%) | 13 (13.3%) | |
Emergency surgery prior to imaging | 0 (0%) | 28 (28.6%) (3 negative explorations) |
|
For all injury types | 17 (29.3%) | 119 (26.3%) | |
Conservative | |||
For PNI | 48 (82.8%) (3 selected for palliative care) | 354 (78.3%) (2 exsanguinated prior to reaching theatre) | |
For all injury types | 41 (70.7%) | 333 (73.7%) |
GSW = gunshot wound; SW = stab wound; PNI = penetrating neck injury