GENITOURINARY INJURIES DURING WAR AGAINST TERROR: A SINGLE-CENTER EXPERIENCE
| Autor: | Haroon Sabir Khan, Muhammad Sarwar Alvi, Faaran Kiani, Muhammad Asif Nawaz, Arshad Mahmood, Muhammad Rafiq Zafar |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Medicine (General) Urology department Genitourinary system business.industry Cross-sectional study General surgery medicine.medical_treatment Single Center Trauma Surgeon Nephrectomy humanities Urethra medicine.anatomical_structure R5-920 medicine Medicine war genitourinary business management War injuries injuries |
| Zdroj: | Pakistan Armed Forces Medical Journal, Vol 71, Iss 3, Pp 724-728 (2021) |
| ISSN: | 2411-8842 0030-9648 |
| Popis: | Objective: To compare our experience of genitourinary injuries during the war against terrorism with the record of those in previous wars of the World. Study Design: Cross sectional study. Place and Duration of Study: Urology department, Combined Military Hospital Peshawar, from Jun 2011 to Aug 2014. Methodology: We treated 89 (5.6%) cases of genitourinary injuries received in our tertiary care hospital in Khyber Pakhtunkhwa. The hospital was located at a distance of 2-3 hours of evacuation time by helicopter from the forward operational area. Results: The frequency of genitourinary injuries among 1589 war casualties was (5.6%). Out of these 49 (55%) were due to sniper shots and 40 (45%) due to improvised explosive device. Kidney was the most common organ injured 30 (33.7%), followed by bladder 20 (22.5%) and urethra 14 (15.7%). Majority of renal and bladder injuries were afflicted in those soldiers who were not wearing the protective jackets. Associated injuries to other organs were identified in 81% cases. Salvage of all genitourinary organs was the aim; however, nephrectomy and orchiectomy had to be performed in 30% and 50% respectively. Conclusion: Salvage of genitourinary war injuries poses a challenge to the trauma surgeon as lifesaving measures take precedence over organ preservation. Renal trauma in war was found to be the leading critical genitourinary injury. |
| Databáze: | OpenAIRE |
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