Thorax Gunshot and Sharp Cutting Tool Injuries: For 5 Months Nyala Experiences
Background: The two most common causes of penetrating thoracic trauma are firearm injuries and injuries by sharpened cutting tool. Penetrating thoracic injuries are risk factors for high mortality and morbidity, so they need to be diagnosed correctly and timely in order to perform an effective intervention. In this study, patients with penetrating thoracic trauma were treated through surgical intervention accompanying minimal morbidity–mortality compared to literature, even though they were admitted relatively late. Methods: In this retrospective study, 29 gunshot and stab wounds penetrating thoracic trauma patients were admitted to the emergency department of Nyala Sudan Turkey Education and Research Hospital between April and September 2018. Results: Of the 29 patients, 7 (24.13%) were gunshot injuries and 22 (75.86%) were injured with a sharp cutting tool. While 13 of the cases (44.82%) were admitted on the day the incident took place, 5 of them (17.24%) were post-traumatic first day of the admission, 9 of them (31.03%) were post-traumatic day 2, whereas 1 of them (3.44%) was post-traumatic the third day of admission. Finally, 14 patients (48.28%) were followed-up conservatively without tube thoracostomy, while 15 patients (51.72%) underwent tube thoracostomy in follow-up. No patient was operated for penetrant trauma. Mortality was not seen. Conclusion: Patients with penetrating thoracic trauma were treated by surgical interventions accompanying minimal morbidity–mortality even though they were admitted relatively late to healthcare facilities.
Key words: penetrating thoracic injuries, sharp cutting tool, gunshot
 Leblebici, H. İ., Kaya, Y., and Koçak, A. H. (2005). Göğüs travmalı 302 olgunun analizi. Turkish Journal of Thoracic and Cardiovascular Surgery, vol. 13, no. 4, pp. 392–396.
 Yılmaz, M. S., Çavuş, U. Y., Büyükcam, F., et al. (2013). Acil serviste penetran göğüs travması:76 hastanın analizi. S.D.Ü. Tıp Fakültesi Dekanlığı, vol. 20, no. 4, pp. 139–143.
 Guitron, J., Huffman, L. C., Howington, J. A., et al. (2009). Blunt and penetrating injuries of the chest wall, pleura, and lungs. In: T. W. Shields, J. Locicero, C. E. Reed, R. H. Feins (Eds.) General Thoracic Surgery (7th ed.), pp. 891–902. Philadelphia: Lippincott Williams & Wilkins.
 Karamustafaoğlu, Y. A., Yavaşman, İ., Kuzucuoğlu, M., et al. (2009). Penetran travmalı olgularda 13 yıllık deneyimimiz. Medical Journal of Trakya University, vol. 26, no. 3, pp. 232–236.
 Demetriades, D., Murray, J., Charalambides, K., et al. (2004). Trauma fatalities: time and location of hospital deaths. Journal of the American College of Surgeons, vol. 198, no. 1, pp. 20–26.
 Sirmali, M., Türüt, H., Topçu, S., et al. (2003). A comprehensive analysis of traumatic rib fractures: morbidity, mortality and management. European Journal of Cardio-Thoracic Surgery, vol. 24, pp.133–138.
 Robison, P. D., Harman, P. K., Trinkle, J. K., et al. (1988). Management of penetrating lung injuries in civilian practice. Journal of Thoracic and Cardiovascular Surgery, vol. 95, no. 2, pp. 184–190.
 Tekinbas, C., Eroglu, A., Kurkcuoglu, I. C., et al. (2003). Chest trauma: analysis of 592 cases. Ulusal Travma ve Acil Cerrahi Dergisi, vol. 9, no. 4, pp. 275–280.
 Başoğlu, A., Akdağ, A. O., Celik, B., et al. (2004). Thoracic trauma: an analysis of 521 patients. Ulusal Travma ve Acil Cerrahi Dergisi, vol. 10, pp. 42–46.
 Çağırıcı, U., Uç, H., Çalkavur, T., et al. (1998). Toraks travmaları: 6 yıllık deneyimlerimiz. Ulusal Travma ve Acil Cerrahi Dergisi, vol. 4, pp. 248–252.