Assessment of the perioperative period in civilians injured in the Syrian Civil War

Hakimoğlu, Sedat; Karcioglu, Murat; Tuzcu, Kasım; Davarcı, Işıl; Koyuncu, Onur; Dikey, İsmail; Turhanoglu, Selim; Sarı, Ali; Acipayam, Mehmet; Karatepe, Celalettin

doi:10.1016/j.bjane.2014.03.003

Cited by 18 publications

(20 citation statements)

References 27 publications

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“…In Syria, the firearms and explosives used in the war between government forces and rebels resulted with different injuries in the recent years. 3 …”

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of patients with burn injury treated in a burn center in Turkey during the Syrian civil war

Yüce

Acar

Erkal

et al. 2017

SMJ

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Objectives:To report the management of burn injuries that occured in the Syria civil war, which were referred to our burn center.Methods:Forty-three patients with burns, injured in the civil war in Syria and whom were referred to Dr. Lütfi Kırdar Kartal Educating and Training Hospital Burn Centre of İstanbul, Turkey between 2011-2015 were analyzed in a retrospective study.Results:Most of our patients were in major burn classification (93%; 40/43) and most of them had burns >15% total on body surface area. Most of them were admitted to our center late after first management at centers with improper conditions and in cultures of these patients unusual and resistant strains specific to the battlefield were produced.Conclusion:Immediate transfer of the patients from the scene of incidence to burn centers ensures early treatment, this factor may be effective on the outcome of these patients.

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“…In Syria, the firearms and explosives used in the war between government forces and rebels resulted with different injuries in the recent years. 3 …”

Section: Discussionmentioning

confidence: 99%

Retrospective analysis of patients with burn injury treated in a burn center in Turkey during the Syrian civil war

Yüce

Acar

Erkal

et al. 2017

SMJ

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“…In this study, we report the rate of thoracic injury is 3.2% among civilian casualties in Aden city during war. In compare to these reported in the former wars; 5% in Arab-Israeli war, 1973 (Israel [9] ); 5% in Lebanon, 1982 [9] ; 8% and 12% in the Gulf war II, (1990 -1991) (USA [4] ), (France [10] ) and (United Kingdom [UK [8] ]) respectively; 8 % in Somalia: Mogadishu, 1992 (USA [9] ); 6.5% and10 % in Gulf war III, 2003 (UK [11] ) and (USA [4] ) respectively; 3.3% in Syria, since 2011 to the time of writing (Turkey [1] ). Our figure of incidence is low; this attributed to our study involved only civilians whereas their figures reflect both combatants and civilians injuries.…”

Section: Discussionmentioning

confidence: 99%

“…Wars and its challenges have historically afflicted humanity and continue to do so today [1] . Chest wounds represent 4.4 to 33% of all modern combat injuries [2 -6] .…”

Section: Introductionmentioning

confidence: 99%

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War Thoracic Wounds Among Civilians Casualties in Aden During the 2015

Salem

Bux

Hudeel

2020

Electron. J. Univ. Aden Basic Appl. Sci.

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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.

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“…However, Debien and Lenoir in France have noted a 19% prevalence of chest trauma [3]. In war or armed conflict pathology, the thoracic involvement varies from 3% to 10% of all lesions [4] [5]. These are serious lesions and occur most often in a polytrauma context which can be life-threatening [1].…”

Section: Introductionmentioning

confidence: 99%

Thoracic Wounds by Firearm at the University Hospital Yalgado Ouedraogo (YO)

Ouangré¹,

Zida²,

Bazongo³

et al. 2017

OJTS

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Introduction: Thoracic wounds by firearms are frequent and severe. They may involve the patient's prognosis. Objective: To study the epidemiological, clinical, paraclinical, therapeutic and evolutionary aspects of the thoracic wounds by firearms. Material and method: This was a cross-sectional, descriptive study of all patients over the age of 15 who consulted in the university hospital-YO in the department of general and digestive surgery over a period of 5 years. Results: We collected 50 cases of thoracic wounds by firearms on 183 thoracic wounds with a prevalence of 27.3%. There were 48 men (96%). The average age was 30 years. The patients came from urban areas in 66% of cases; the informal sector accounted for 44% of the cases. The pistol was the most involved firearm (46.9%). The consultation period was less than 6 hours in 78% of patients. An unstable hemodynamic state was found in 42% (n = 21). A fluid and mixed pleural effusion syndrome was found in 46% and 26% of patients, respectively. Associated lesions were diaphragm involvement, and lesions of intra-abdominal hollow organs. Thoracic drainage was performed in 24 patients (48%) and was associated with a laparotomy in 8 patients. The average hospital stay was 7.5 days. Mortality was 14%. Conclusion: the thoracic wounds by firearms are frequent in civilian practice. The thoracic CT allows mapping of the lesions and thoracic drainage constitutes the essential part of surgical treatment. The fight against the proliferation of weapons deserves to be promoted.

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Assessment of the perioperative period in civilians injured in the Syrian Civil War

Cited by 18 publications

References 27 publications

Retrospective analysis of patients with burn injury treated in a burn center in Turkey during the Syrian civil war

Retrospective analysis of patients with burn injury treated in a burn center in Turkey during the Syrian civil war

War Thoracic Wounds Among Civilians Casualties in Aden During the 2015

Thoracic Wounds by Firearm at the University Hospital Yalgado Ouedraogo (YO)

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