Management of war-related vascular wounds in French role 3 hospital during the Afghan campaign.
Injury
; 48(9): 1906-1910, 2017 Sep.
Article
em En
| MEDLINE
| ID: mdl-28622832
ABSTRACT
OBJECTIVES:
To describe the management of war-related vascular injuries in the Kabul French military hospital.METHODS:
From January 2009 to April 2013, in the Kabul French military hospital, we prospectively included all patients presenting with war-related vascular injuries. We collected the following data site, type, and mechanism of vascular injury, associated trauma, type of vascular repair, amputation rate and complications.RESULTS:
Out of the 922 soldiers admitted for emergency surgical care, we recorded 45 (5%) patients presenting with vascular injuries 30 (67%) gunshot-related, 11 (24%) explosive device-related, and 4 (9%) due to road traffic accident. The majority of injuries (93%) involved limbs. Vascular injuries were associated with fractures in 71% of cases. Twelve (26.7%) had an early amputation performed before evacuation. Twenty (44.4%) patients underwent fasciotomy and three (6.6%) sustained a compartment syndrome.CONCLUSIONS:
This was the first French reported series of war-related vascular injuries during the last decade's major conflicts. The majority of injuries occurred in the limbs. Autologous vein graft remains the treatment of choice for arterial repair. Functional severity of these injuries justifies specific training for military surgeons.Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Procedimentos Cirúrgicos Vasculares
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Traumatismos por Explosões
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Veia Femoral
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Lesões do Sistema Vascular
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Hospitais Militares
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Medicina Militar
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Militares
Tipo de estudo:
Observational_studies
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Risk_factors_studies
Limite:
Adolescent
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Adult
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Female
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Humans
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Male
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Middle aged
País/Região como assunto:
Europa
Idioma:
En
Ano de publicação:
2017
Tipo de documento:
Article