@article{Bayramov1996a,
abstract = {Objective. The purpose of this study was to evaluate our management policy for gunshot wounds of the liver in the light of our original classification. Methods. One hundred and seven patients with gunshot wounds of the liver (GSWL) were evaluated. Based on the gunshot wound's treatment principles and criteria, which include the amount of devitalised liver tissues and caliber of injured intrahepatic vascular and ductal structures (VDS). The 4 severity grade of the GSWL were evaluated. The patients with Grade I injures had nonbleeding, small than 2 cm wounds. Such patients did not require surgery. In patients with Grade II injures the amount of devitalised liver tissues was smaller than that of one segment and slower but continued bleeding was noted. In these patients the debridment was performed and bleeding was controlled by simple methods (temporary compression, electrocauther, spongiose). In patients with Grade III injures, the amount of devitalisation was up to one segment and severe bleeding occurred. In these patients a portal clumping, hepatotomy, ligation of bleeding vessels and debridment ll'ere performed. In Grade IV injures the amount of the primary or secondary (after ligation of bleeding vessels) devitalised liver tissues was more than that of one segment, and an anatomic resection was required. Results. The liver was one of the most frequently injured organ in patients with gunshot wounds to the thorax and abdomen (31.6%). Also in most of these cases the liver injuries were associated with other organ injuries (59.8%). Grade I injuries occurred in 16 patients, Grade II injuries in 48 patients, Grade III injuries in 29 patients and Grade IV injuries in 14 patients. Morbidity and mortality rates were 18.7% and 13.1% in total; 0% and 0% in Grade I injuries; 6.2% and 4.2% in Grade II injuries, 34.5% and 20.6% in Grade Ill injuries and 50% and 42.8% in Grade IV injuries, respectively. Conclusion. The preferred classification, which is based on the amount of devitalized parenchyma and caliber of the damaged intrahepatic vessels and bile ducts, may be helpful for treatment choice and for assessment of the treatment results in the patients with gunshot wounds of the liver.},
annote = {1-ci Qarabağ M{\"{u}}haribəsi d{\"{o}}vr{\"{u}}ndə 107  yaralının nəticələri analiz edilmiş və qaraciyərin odlu silah yaralanmalarının təsnifatı verilmişdir. Devitalizə toxumaların həcminə, damar və axacaqların diametrinə və m{\"{u}}alicə yanaşmasına g{\"{o}}rə qaraciyərin odlu silah yaralanmalarının 4 ağırlıq dərəcəsi m{\"{u}}əyyənləşdirilmişdir.},
author = {Bayramov, N.Y.},
file = {:C\:/Users/nurub/Documents/NuruBay 2017/Məqalərər və tezislər/{\c{C}}ap olunmuş məqalələr/Mendeleydə olanlar/M-1996-calssification-of-gunshot-liver-injury.pdf:pdf;:C\:/Users/nurub/Documents/NuruBay 2017/Məqalərər və tezislər/{\c{C}}ap olunmuş məqalələr/Mendeleydə olanlar/M-1996-classification-of-gunshot-liver-injury.DOC:DOC},
journal = {Eastern Journal of Medicine},
keywords = {Liver,Mən məqalə,Qc,classification,gunshot wounds,odlu siah yaralanması,surgical treatment},
mendeley-tags = {Mən məqalə,Qc,odlu siah yaralanması},
number = {2},
pages = {80--85},
title = {{Classification of gunshot wounds of the liver.}},
url = {http://bck.az/elm-ve-tedqiqat/meqaleler/m-1996-calssification-of-gunshot-liver-injury},
volume = {1},
year = {1996}
}