�ocuk cerrahisinde ate�li silah yaralanmalar�: Pediatrik travma merkezi deneyimleri

Erten, Elif Emel; �ztorun, Can Ihsan; Ert�rk, Ahmet; Bostanc�, Suleyman Arif; Demir, Sabri; �ahin, Vildan Selin; Dincer, Bekir; �zsoy, Sait; Az�l�, Mujdem Nur; �enel, Emrah

Cilt : 31 Say� : 6 Y�l : 2025

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�ocuk cerrahisinde ate�li silah yaralanmalar�: Pediatrik travma merkezi deneyimleri [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2025; 31(6): 540-547 | DOI: 10.14744/tjtes.2024.25224

�ocuk cerrahisinde ate�li silah yaralanmalar�: Pediatrik travma merkezi deneyimleri

Elif Emel Erten¹, Can Ihsan �ztorun², Ahmet Ert�rk², Suleyman Arif Bostanc�¹, Sabri Demir³, Vildan Selin �ahin¹, Bekir Dincer⁴, Sait �zsoy⁵, Mujdem Nur Az�l�⁵, Emrah �enel⁵
¹Ankara Bilkent �ehir Hastanesi �ocuk Cerrahisi Klini�i, Ankara
²Ankara Y�ld�r�m Beyaz�t �niversitesi T�p Fak�ltesi �ocuk Cerrahisi A.D. Ankara
³Ankara Adli T�p Grup Ba�kanl��, Ankara
⁴Adli T�p, Ankara Grup Ba�kanl��, Ankara
⁵Sa�l�k Bilimleri �niversitesi G�lhane T�p Fak�ltesi. Adli T�p Anabilim Dal�, Ankara

Ama�: Bu �al��mada bir pediatrik travma merkezinde pediatrik cerrahlar� taraf�ndan tedavi edilen torakal ve abdominal ate�li silah yaralanmas� olan �ocuk hastalara ili�kin epidemiyolojik verileri de�erlendirmeyi ama�lad�k.
Gere� ve Y�ntem: 2015-2022 y�llar� aras�nda ate�li silah yaralanmas� nedeni ile hastaneye yat�r�lan �ocuklar retrospektif olarak incelendi. Hastalar�n demografik �zellikleri, etkilenen organlar, tedavi y�ntemleri ve hastanede kal�� s�resi analiz edildi.
Bulgular: Hastalar�n ortalama ya�� 12.43�2.31 y�ld�; 27'si (%84.4) erkek, be�i (%15.6) kad�nd�. Mermi yaralanmalar� daha y�ksek �iddetle ili�kilendirildi ve s�kl�kla maj�r cerrahi m�dahale gerektirirken, sa�ma yaralanmalar� genellikle konservatif olarak tedavi edildi. Torasik yaralanmalarda, konservatif y�netimin hayat� tehdit eden acil komplikasyonlar� olmayan stabil vakalar i�in etkili oldu�u d��n�l�rken, abdominal yaralanmalar daha s�kl�kla invaziv cerrahi yakla��mlar gerektirmi�tir. �zellikle, kaza ile olan ate�li silah yaralanmalar� k��k �ocuklarda daha yayg�nken, kas�tl� yaralanmalar daha b�y�k ergenlerde daha yayg�nd�. Ya� ve ate�li silah yaralanmas� t�r� aras�nda istatistiksel olarak anlaml� bir korelasyon oldu�unu g�sterildi (p = 0,002). Ayr�ca, g��s yaralanmas� olan hastalar�n �o�una min�r cerrahi uygulan�rken, kar�n yaralanmas� olan hastalara �o�unlukla maj�r cerrahiler uygulanm��t�r
Sonu�: Ara�t�rmam�zda, kaza ile olan ate�li silah yaralanmalar�n�n gen� ya� gruplar�nda daha yayg�n oldu�unu, kas�tl� ate�li silah yaralanmalar�n�n ya�la birlikte artt��n� g�sterdik.

Anahtar Kelimeler: Ate�li silah yaralanmas�, �ocuklarda travma, g��s travmas�, kar�n travmas�

Firearm injuries in pediatric surgery: Pediatric trauma center experiences

Elif Emel Erten¹, Can Ihsan �ztorun², Ahmet Ert�rk², Suleyman Arif Bostanc�¹, Sabri Demir³, Vildan Selin �ahin¹, Bekir Dincer⁴, Sait �zsoy⁵, Mujdem Nur Az�l�⁵, Emrah �enel⁵
¹Department of Pediatric Surgery, Ankara Bilkent City Hospital, Ankara-Türkiye
²Department of Pediatric Surgery, Ankara Y�ld�r�m Beyaz�t University Faculty of Medicine, Ankara-Türkiye
³Department of Pediatric Surgery, University of Health Sciences Faculty of Medicine, Ankara-Türkiye
⁴Ankara Regional Office, Council of Forensic Medicine, Ankara-Türkiye
⁵Department of Forensic Medicine,University of Health Sciences, Gülhane Faculty of Medicine, Ankara-Türkiye

Background: This study aimed to evaluate the epidemiological data on thoracic and abdominal firearm injuries in children treated by pediatric surgeons at a pediatric trauma center.
Methods: Children hospitalized with firearm injuries from 2015 to 2022 were retrospectively analyzed. Patient demographics, affected organs, treatment, and length of hospital stay were analyzed retrospectively.
Results: The mean age of the patients was 12.43�2.31 years; 27 (84.4%) were male and five (15.6%) were female. Bullet injuries were associated with higher severity and often required major surgical intervention, whereas pellet injuries were generally managed conservatively. For thoracic injuries, conservative management was considered effective for stable cases without immediate life-threatening complications, whereas abdominal injuries more often required invasive surgical approaches. Notably, unintentional firearm injuries were more common in younger children, whereas intentional injuries were more common in older adolescents. This age-related pattern highlights a statistically significant correlation between age and type of firearm injury (p = 0.002). Also, the majority of patients with thoracic injuries underwent minor surgeries, whereas those with abdominal injuries mostly underwent major surgeries
Conclusion: Our study indicates that accidental firearm injuries are more common among younger age groups, whereas intentional firearm injuries tend to occur more frequently among older children.

Keywords: Trauma in children, gunshot wounds, thorax trauma, abdomen trauma

Sorumlu Yazar: Elif Emel Erten, T�rkiye
Makale Dili: �ngilizce

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