surgery-ortho-2017-scientifictracks-abstracts

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International Surgery and Ortho Conference

October 25-26, 2017 | Toronto, Canada

Case Rep Surg Invasive Proced 2017 | Volume 1 Issue 3

New approach in managing pelvic gunshot injuries

Yaser Said Abdelrhman Selim

Samtah General Hospital, Kingdom of Saudi Arabia

Background:

Penetrating pelvic injury (PPI) is one of the most

difficult injuries to trauma surgeons; patients who have this

condition have high-risk of visceral injury (rectum, bladder and

distal ureters).

Case Study:

We present one patient with gunshot injury to the

pelvis who presented to ER with severe shock and a history

of gunshot in battle field, there was an inlet wound in the

left gluteal region. Immediate laparotomy was done together

with fluid resuscitation. In the theatre, there was a clear plan

to ligate both internal iliac arteries before exploration of pelvic

hematoma.

Results:

Patient showed immediate improvement of vital

signs and bilateral ligation of internal iliac arteries enables full

exploration of the pelvic hematoma and ligation of bleeding

vessels.

Conclusion:

Although gunshot injuries are considered to be

one of themost difficult injuries for trauma surgeon tomanage,

definite plan with vascular control before exploration of pelvic

hematoma can be rapid simple method to save lots of patient’s

lives.

Speaker Biography

Yasser S, MD, MRCS, graduated in the Faculty of Medicine, Tanta University, Egypt in

1992. He trained in the Department of General Surgery in Tanta University Hospital,

where he got his Master’s degree in General Surgery in 1997. He started his MD

research in Menofyia University in 2000; he had been awarded Doctorate degree in

Surgery in 2004. He started to work in Teaching Hospital Institution in Egypt as Lecturer

and Professor of General Surgery. In 2007, he started working in Saudi Arabia as a

Consultant of General Surgery where he was responsible for treating trauma patients.

He trained in Mainz, Germany in 2010 in the field of Laparoscopic Surgery; in 2014, he

became a member of Royal College of Surgeons of England.