Principles and management of penetrating vascular injuries secondary to shotgun wounds.
The characteristics of shotgun ammunition and ballistics are discussed to give an understanding of how shotgun wounds differ from all other types of civilian penetrating wounds. Five case examples of shotgun injuries to blood vessels involving the neck and extremities are presented to highlight problems encountered and to point out the principles of management. The importance of muzzle-to-victim range, preoperative arteriography and the definite place of conservation treatment are stressed.
D000328:Adult; D000671:Amputation, Surgical; D001132:Arm / Q000098:blood supply; D001808:Blood Vessels / Q000293:injuries*; D005260:Female; D006801:Humans; D007866:Leg / Q000098:blood supply; D008297:Male; D008875:Middle Aged; D009333:Neck / Q000098:blood supply; D011150:Popliteal Artery / Q000293:injuries; D014656:Vascular Surgical Procedures; D014948:Wounds, Gunshot / Q000601:surgery