Penetrating neck trauma ranges from 5 to 10% of trauma patients and its management has been changing in the las 20 years and not all surgeons that attend this patients are trauma surgeons. The aim of the study is to describe the evolution of the management in a referal center and the complications of two periods, with and without a simplified protocol.
Penetrating neck trauma ranges from 5 to 10% of trauma patients and its management has been changing in the las 20 years and not all surgeons that attend this patients are trauma surgeons. Traditionally, the management was followed by surgical treatment, but the non-therapeutic cervicotomies were ascendent to the 89%, the zone approach was established, following the Monson anatomy zones, with different indications for surgery in every zone, and finally, after the year 2000, started to publish articles on where the injury was not correlated with the zone in about a 23% of the patients. The aim of the study is to describe the evolution of the management in a referal center and the complications of two periods, with and without a simplified no zone approach protocol.
Study Type
OBSERVATIONAL
Enrollment
1,000
Complications
The main outcome measure was the total of complications in patients with a penetrating neck trauma assessed by the Clavien-Dindo Classification.
Time frame: 2008-2022
Mortality
The second main outcome measure was the total of deaths in patients with a penetrating neck trauma assessed by preventable or non-preventable deaths.
Time frame: 2008-2022
Non-therapeutic cervicotomy
The third main outcome measure was the total of non-therapeutic and therapeutic cervitocomies before and after implementing a simplified protocol in patients with a penetrating neck trauma.
Time frame: 2008-2022
Demographyc description
Description of the age and gender (Male / Female)
Time frame: 2008-2022
Physiologic description
Description of the vitals at arrival (bates per minute, blood pressure)
Time frame: 2008-2022
Wound
Description of the wound: bleeding, longitude, number of wounds
Time frame: 2008-2022
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.