title: Isolated penetrating gluteal injuries.
abstract: In the authors' institution, 27 patients with gluteal injuries were treated surgically during the past 17 years. All patients were males, and the mean age was 32.4 years. Most patients (89%) had stab wounds. The lesion was on the right buttock in 16 (59%) patients and on the left buttock in 11 (41%) patients. Bleeding was the most common presenting sign. The superior gluteal artery and its branches were the most commonly injured arteries (89%). Surgical procedure was arterial ligation alone in all but one case, whereas one patient underwent coil embolization. Mortality was 11% and included 1 death on arrival to the medical center and 2 intraoperative deaths. To achieve a low rate of morbidity and mortality with such injuries, careful physical examination and immediate surgical or endovascular treatment is needed.
authors.affiliation: Department of Cardiovascular Surgery, Erciyes University Medical Faculty, Kayseri, Turkey. ceyranh@erciyes.edu.tr
authors.forename: Hakan
authors.initials: H
authors.lastname: Ceyran
authors.forename: Yigit
authors.initials: Y
authors.lastname: Akçali
authors.forename: Nevzat
authors.initials: N
authors.lastname: Ozcan
authors.forename: Kutay
authors.initials: K
authors.lastname: Tasdemir
mesh_terms: D000328:Adult; D001158:Arteries / Q000293:injuries; D002081:Buttocks / Q000098:blood supply* / Q000293:injuries; D004621:Embolization, Therapeutic; D006470:Hemorrhage / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D017052:Hospital Mortality; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D011859:Radiography; D013997:Time Factors; D016896:Treatment Outcome; D014421:Turkey; D014656:Vascular Surgical Procedures / Q000009:adverse effects / Q000401:mortality; D014948:Wounds, Gunshot / Q000601:surgery; D014950:Wounds, Penetrating / Q000150:complications / Q000000981:diagnostic imaging / Q000401:mortality / Q000601:surgery*; D014951:Wounds, Stab / Q000601:surgery; D055815:Young Adult