War Wounds - Changing Concepts.

Autor: 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.
Jazyk: angličtina
Zdroj: Medical journal, Armed Forces India [Med J Armed Forces India] 2002 Jul; Vol. 58 (3), pp. 192-5. Date of Electronic Publication: 2011 Jul 21.
DOI: 10.1016/S0377-1237(02)80127-7
Abstrakt: 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.
Databáze: MEDLINE