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War Wounds - Changing Concepts.
Nagpal, B M; Mohanty, Capt Sk; Tiwari, G L; Gambhir, Rps; Singh, Y.
  • Nagpal BM; Professor and Head, Department of Surgery, Armed Forces Medical College, Pune - 411 040.
  • Mohanty CS; Senior Adviser (Surgery), INHS Asvini, Colaba, Mumbai - 400 005.
  • Tiwari GL; Senior Adviser (Surgery), Military Hospital, Jabalpur.
  • Gambhir R; Graded Specialist (Surgery), Military Hospital, Jabalpur.
  • Singh Y; Commandant, Military Hospital, Agra.
Med J Armed Forces India ; 58(3): 192-5, 2002 Jul.
Article en En | MEDLINE | ID: mdl-27407380
The accepted standard treatment of war wounds through the last century has been debridement and delayed primary closure. However, recently, there has been a renewed Interest In primary closure of these wounds. 1481 war wounds were managed by the authors and out of 789 soft tissue injuries, 389 (47%) were closed primarily (group 1) after meticulous debridement and 220 (28%) underwent delayed primary closure (group 2). The infection rate in group 1 was 4.87% compared to 6.36% in group 2. The average hospital stay in group 1 was 15 days, significantly shorter by 10 days than in group 2. In the war zone both time and resources are at a premium and primary closure of selected wounds offers a better alternative to delayed primary closure.
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