Loading…

Indications for bullet removal: overview of the literature, and clinical practice guidelines for European trauma surgeons

Purpose The incidence of gunshot wounds from civilian firearms is increasing. Despite this fact, guidelines on indications for bullet removal are scarce. In this analysis, we combine an overview of the available literature in these rare entities with our experiences in our own clinical practices. Me...

Full description

Saved in:
Bibliographic Details
Published in:European journal of trauma and emergency surgery (Munich : 2007) 2012-04, Vol.38 (2), p.89-93
Main Authors: Dienstknecht, T., Horst, K., Sellei, R. M., Berner, A., Nerlich, M., Hardcastle, T. C.
Format: Article
Language:English
Subjects:
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
cited_by cdi_FETCH-LOGICAL-c372t-328361bc50af8e2aa9f1a99c91279cf9ffbb2179736f2adf4d5fccdd39a708813
cites cdi_FETCH-LOGICAL-c372t-328361bc50af8e2aa9f1a99c91279cf9ffbb2179736f2adf4d5fccdd39a708813
container_end_page 93
container_issue 2
container_start_page 89
container_title European journal of trauma and emergency surgery (Munich : 2007)
container_volume 38
creator Dienstknecht, T.
Horst, K.
Sellei, R. M.
Berner, A.
Nerlich, M.
Hardcastle, T. C.
description Purpose The incidence of gunshot wounds from civilian firearms is increasing. Despite this fact, guidelines on indications for bullet removal are scarce. In this analysis, we combine an overview of the available literature in these rare entities with our experiences in our own clinical practices. Methods We conducted a systematic literature search of computerized bibliographic databases (Medline, EMBASE, and the Cochrane Central Register). The local experience of the authors was reviewed in light of the available literature. Results 145 full-text articles were suitable for further evaluation. Only six retrospective studies were available, and no prospective study could be retrieved. Most of the articles were case reports. In the South African co-author’s own clinical practice, approximately 800 patients are treated per year with gunshot wounds. Conclusions In summary, there are only a few clear indications for bullet removal. These include bullets found in joints, CSF, or the globe of the eye. Fragments leading to impingement on a nerve or a nerve root, and bullets lying within the lumen of a vessel, resulting in a risk of ischemia or embolization, should be removed. Rare indications are lead poisoning caused by a fragment, and removal that is required for a medico-legal examination. In all other cases the indication should be critically reviewed.
doi_str_mv 10.1007/s00068-011-0170-x
format article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1761464272</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>1761464272</sourcerecordid><originalsourceid>FETCH-LOGICAL-c372t-328361bc50af8e2aa9f1a99c91279cf9ffbb2179736f2adf4d5fccdd39a708813</originalsourceid><addsrcrecordid>eNp1kU1rFTEUhoMotlZ_gBsJuHHhaD7m5sOdlKqFghtdh0zm5JqSmVzzcW3_vSlTiwguwgk5z3lP4EHoJSXvKCHyfSGECDUQSvuRZLh5hE6pEnzQeqSPH-6cn6BnpVx3mIgde4pOmFB0p9h4im4v1zk4W0NaC_Yp46nFCBVnWNLRxg84HSEfA_zCyeP6A3AMFbKtLcNbbNcZuxjWHhDxIVtXgwO8b2GG_gpb4EXL6QB2xTXbtlhcWt5D3_YcPfE2FnhxX8_Q908X386_DFdfP1-ef7waHJesDpwpLujkdsR6Bcxa7anV2mnKpHZeez9NjEotufDMzn6cd965eebaSqIU5WfozZZ7yOlng1LNEoqDGO0KqRVDpaCjGJlkHX39D3qdWl777wwllI8jU4J0im6Uy6mUDN4cclhsvu2QufNiNi-mezF3XsxNn3l1n9ymBeaHiT8iOsA2oPTWuof89-r_pf4GO-CaxQ</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1013442860</pqid></control><display><type>article</type><title>Indications for bullet removal: overview of the literature, and clinical practice guidelines for European trauma surgeons</title><source>Springer Nature</source><creator>Dienstknecht, T. ; Horst, K. ; Sellei, R. M. ; Berner, A. ; Nerlich, M. ; Hardcastle, T. C.</creator><creatorcontrib>Dienstknecht, T. ; Horst, K. ; Sellei, R. M. ; Berner, A. ; Nerlich, M. ; Hardcastle, T. C.</creatorcontrib><description>Purpose The incidence of gunshot wounds from civilian firearms is increasing. Despite this fact, guidelines on indications for bullet removal are scarce. In this analysis, we combine an overview of the available literature in these rare entities with our experiences in our own clinical practices. Methods We conducted a systematic literature search of computerized bibliographic databases (Medline, EMBASE, and the Cochrane Central Register). The local experience of the authors was reviewed in light of the available literature. Results 145 full-text articles were suitable for further evaluation. Only six retrospective studies were available, and no prospective study could be retrieved. Most of the articles were case reports. In the South African co-author’s own clinical practice, approximately 800 patients are treated per year with gunshot wounds. Conclusions In summary, there are only a few clear indications for bullet removal. These include bullets found in joints, CSF, or the globe of the eye. Fragments leading to impingement on a nerve or a nerve root, and bullets lying within the lumen of a vessel, resulting in a risk of ischemia or embolization, should be removed. Rare indications are lead poisoning caused by a fragment, and removal that is required for a medico-legal examination. In all other cases the indication should be critically reviewed.</description><identifier>ISSN: 1863-9933</identifier><identifier>EISSN: 1863-9941</identifier><identifier>DOI: 10.1007/s00068-011-0170-x</identifier><identifier>PMID: 26815824</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Ammunition ; Critical Care Medicine ; Emergency Medicine ; Intensive ; Medicine ; Medicine &amp; Public Health ; Original Article ; Shootings ; Sports Medicine ; Surgery ; Surgical Orthopedics ; Trauma care ; Traumatic Surgery</subject><ispartof>European journal of trauma and emergency surgery (Munich : 2007), 2012-04, Vol.38 (2), p.89-93</ispartof><rights>Springer-Verlag 2011</rights><rights>Springer-Verlag 2012</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c372t-328361bc50af8e2aa9f1a99c91279cf9ffbb2179736f2adf4d5fccdd39a708813</citedby><cites>FETCH-LOGICAL-c372t-328361bc50af8e2aa9f1a99c91279cf9ffbb2179736f2adf4d5fccdd39a708813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26815824$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dienstknecht, T.</creatorcontrib><creatorcontrib>Horst, K.</creatorcontrib><creatorcontrib>Sellei, R. M.</creatorcontrib><creatorcontrib>Berner, A.</creatorcontrib><creatorcontrib>Nerlich, M.</creatorcontrib><creatorcontrib>Hardcastle, T. C.</creatorcontrib><title>Indications for bullet removal: overview of the literature, and clinical practice guidelines for European trauma surgeons</title><title>European journal of trauma and emergency surgery (Munich : 2007)</title><addtitle>Eur J Trauma Emerg Surg</addtitle><addtitle>Eur J Trauma Emerg Surg</addtitle><description>Purpose The incidence of gunshot wounds from civilian firearms is increasing. Despite this fact, guidelines on indications for bullet removal are scarce. In this analysis, we combine an overview of the available literature in these rare entities with our experiences in our own clinical practices. Methods We conducted a systematic literature search of computerized bibliographic databases (Medline, EMBASE, and the Cochrane Central Register). The local experience of the authors was reviewed in light of the available literature. Results 145 full-text articles were suitable for further evaluation. Only six retrospective studies were available, and no prospective study could be retrieved. Most of the articles were case reports. In the South African co-author’s own clinical practice, approximately 800 patients are treated per year with gunshot wounds. Conclusions In summary, there are only a few clear indications for bullet removal. These include bullets found in joints, CSF, or the globe of the eye. Fragments leading to impingement on a nerve or a nerve root, and bullets lying within the lumen of a vessel, resulting in a risk of ischemia or embolization, should be removed. Rare indications are lead poisoning caused by a fragment, and removal that is required for a medico-legal examination. In all other cases the indication should be critically reviewed.</description><subject>Ammunition</subject><subject>Critical Care Medicine</subject><subject>Emergency Medicine</subject><subject>Intensive</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Original Article</subject><subject>Shootings</subject><subject>Sports Medicine</subject><subject>Surgery</subject><subject>Surgical Orthopedics</subject><subject>Trauma care</subject><subject>Traumatic Surgery</subject><issn>1863-9933</issn><issn>1863-9941</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><recordid>eNp1kU1rFTEUhoMotlZ_gBsJuHHhaD7m5sOdlKqFghtdh0zm5JqSmVzzcW3_vSlTiwguwgk5z3lP4EHoJSXvKCHyfSGECDUQSvuRZLh5hE6pEnzQeqSPH-6cn6BnpVx3mIgde4pOmFB0p9h4im4v1zk4W0NaC_Yp46nFCBVnWNLRxg84HSEfA_zCyeP6A3AMFbKtLcNbbNcZuxjWHhDxIVtXgwO8b2GG_gpb4EXL6QB2xTXbtlhcWt5D3_YcPfE2FnhxX8_Q908X386_DFdfP1-ef7waHJesDpwpLujkdsR6Bcxa7anV2mnKpHZeez9NjEotufDMzn6cd965eebaSqIU5WfozZZ7yOlng1LNEoqDGO0KqRVDpaCjGJlkHX39D3qdWl777wwllI8jU4J0im6Uy6mUDN4cclhsvu2QufNiNi-mezF3XsxNn3l1n9ymBeaHiT8iOsA2oPTWuof89-r_pf4GO-CaxQ</recordid><startdate>20120401</startdate><enddate>20120401</enddate><creator>Dienstknecht, T.</creator><creator>Horst, K.</creator><creator>Sellei, R. M.</creator><creator>Berner, A.</creator><creator>Nerlich, M.</creator><creator>Hardcastle, T. C.</creator><general>Springer-Verlag</general><general>Springer Nature B.V</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20120401</creationdate><title>Indications for bullet removal: overview of the literature, and clinical practice guidelines for European trauma surgeons</title><author>Dienstknecht, T. ; Horst, K. ; Sellei, R. M. ; Berner, A. ; Nerlich, M. ; Hardcastle, T. C.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c372t-328361bc50af8e2aa9f1a99c91279cf9ffbb2179736f2adf4d5fccdd39a708813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Ammunition</topic><topic>Critical Care Medicine</topic><topic>Emergency Medicine</topic><topic>Intensive</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Original Article</topic><topic>Shootings</topic><topic>Sports Medicine</topic><topic>Surgery</topic><topic>Surgical Orthopedics</topic><topic>Trauma care</topic><topic>Traumatic Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Dienstknecht, T.</creatorcontrib><creatorcontrib>Horst, K.</creatorcontrib><creatorcontrib>Sellei, R. M.</creatorcontrib><creatorcontrib>Berner, A.</creatorcontrib><creatorcontrib>Nerlich, M.</creatorcontrib><creatorcontrib>Hardcastle, T. C.</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing &amp; Allied Health Database (ProQuest)</collection><collection>ProQuest Health and Medical</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Nursing &amp; Allied Health Database (Alumni Edition)</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>ProQuest research library</collection><collection>Research Library (Corporate)</collection><collection>Nursing &amp; Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Dienstknecht, T.</au><au>Horst, K.</au><au>Sellei, R. M.</au><au>Berner, A.</au><au>Nerlich, M.</au><au>Hardcastle, T. C.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Indications for bullet removal: overview of the literature, and clinical practice guidelines for European trauma surgeons</atitle><jtitle>European journal of trauma and emergency surgery (Munich : 2007)</jtitle><stitle>Eur J Trauma Emerg Surg</stitle><addtitle>Eur J Trauma Emerg Surg</addtitle><date>2012-04-01</date><risdate>2012</risdate><volume>38</volume><issue>2</issue><spage>89</spage><epage>93</epage><pages>89-93</pages><issn>1863-9933</issn><eissn>1863-9941</eissn><abstract>Purpose The incidence of gunshot wounds from civilian firearms is increasing. Despite this fact, guidelines on indications for bullet removal are scarce. In this analysis, we combine an overview of the available literature in these rare entities with our experiences in our own clinical practices. Methods We conducted a systematic literature search of computerized bibliographic databases (Medline, EMBASE, and the Cochrane Central Register). The local experience of the authors was reviewed in light of the available literature. Results 145 full-text articles were suitable for further evaluation. Only six retrospective studies were available, and no prospective study could be retrieved. Most of the articles were case reports. In the South African co-author’s own clinical practice, approximately 800 patients are treated per year with gunshot wounds. Conclusions In summary, there are only a few clear indications for bullet removal. These include bullets found in joints, CSF, or the globe of the eye. Fragments leading to impingement on a nerve or a nerve root, and bullets lying within the lumen of a vessel, resulting in a risk of ischemia or embolization, should be removed. Rare indications are lead poisoning caused by a fragment, and removal that is required for a medico-legal examination. In all other cases the indication should be critically reviewed.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>26815824</pmid><doi>10.1007/s00068-011-0170-x</doi><tpages>5</tpages></addata></record>
fulltext fulltext
identifier ISSN: 1863-9933
ispartof European journal of trauma and emergency surgery (Munich : 2007), 2012-04, Vol.38 (2), p.89-93
issn 1863-9933
1863-9941
language eng
recordid cdi_proquest_miscellaneous_1761464272
source Springer Nature
subjects Ammunition
Critical Care Medicine
Emergency Medicine
Intensive
Medicine
Medicine & Public Health
Original Article
Shootings
Sports Medicine
Surgery
Surgical Orthopedics
Trauma care
Traumatic Surgery
title Indications for bullet removal: overview of the literature, and clinical practice guidelines for European trauma surgeons
url http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-24T18%3A26%3A05IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Indications%20for%20bullet%20removal:%20overview%20of%20the%20literature,%20and%20clinical%20practice%20guidelines%20for%20European%20trauma%20surgeons&rft.jtitle=European%20journal%20of%20trauma%20and%20emergency%20surgery%20(Munich%20:%202007)&rft.au=Dienstknecht,%20T.&rft.date=2012-04-01&rft.volume=38&rft.issue=2&rft.spage=89&rft.epage=93&rft.pages=89-93&rft.issn=1863-9933&rft.eissn=1863-9941&rft_id=info:doi/10.1007/s00068-011-0170-x&rft_dat=%3Cproquest_cross%3E1761464272%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c372t-328361bc50af8e2aa9f1a99c91279cf9ffbb2179736f2adf4d5fccdd39a708813%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1013442860&rft_id=info:pmid/26815824&rfr_iscdi=true