Thoracic injury during warfare was associated with a high incidence of morbidity and mortality. In wartime, civilians have became a direct target and accounted for one-half to two-thirds of the casualties. We aimed to highlight the incidence and pattern of thoracic injury and its outcomes management among civilians during the war in Aden. This retrospective study was based on the data were prospectively recorded in Medical Registry. There were 84 civilian casualties identified during the study period. Of those, 97.6% of casualties were males and 2.4% were females. The overall mean age was 30.8 ± 9.8 years (range: 10 – 65 years). Of those, 73.8% of casualties were produced by rifle bullets, while 26.2% of casualties were due to fragmentation weapons. Hemopneumothorax was the most common injury patterns. Abdomen injury was the most common associated injuries. Of those, 91.7% of casualties were treated with chest tube insertion alone. Thoracotomy was performed for 7.1% of casualties. The overall complications were 54.8%. Wound infection was the most frequent complications. The overall mortality rate was 3.6%. The overall mean hospital stay was 8.3 ± 5.9 days. We concluded that chest drain is best option for treatment the majority penetrating chest wounds.
Abdominal injury is relatively common in both civilian and military casualties and isa leading cause of morbidity and mortality. The aim of this study is to identify the prevalence of abdominal traumaو to evaluate its impact on the intraperitoneal and Retroperitoneum organs, and to evaluate various modalities of management and its outcome. This is a prospective study conducted at Al-Gamhouria Modern General Hospital, from 1stJanuary 2013 up to 31stDecember 2014. This study involved 70 patients whowerediagnosed as abdominal trauma and admitted to the hospital during the study period. Data were collectedfrom the patients by their clinical history, examination and appropriate investigations. Male patients were predominantly more than female, 65 (92.9%) vs.5 (7.1%). Abdominal trauma involved young people with the mean age of31.3 ± 13.9 years; most of them were from Aden. Penetrating injuries were more prevalent compared to blunt injuries, as the mode of injury was mostly due to gunshots. The most frequently injured abdominal organ was small bowel.Complications occurred in 25(35.7%) patients. Woundinfection was the most common complications.Operative intervention was the treatmentoption for most patients with abdominal trauma.
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