Genitourinary Surgical Workload at Deployed U.S. Facilities in Iraq and Afghanistan, 2002–2016

Turner, Caryn A.; Orman, Jean A.; Stockinger, Zsolt T.; Hudak, Steven J.

doi:10.1093/milmed/usy152

Cited by 6 publications

(2 citation statements)

References 18 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Salvatierra et al in their analysis of GU trauma during the Vietnam war documented renal trauma (31.3%) to be the leading GU injury with incidence of nephrectomy being 50% 7 . In other, Turner et al 15 reported 9.1% incidence of nephrectomy, while Ochsner et al reported it to be 30% 1 . During the Croatian conflict the incidence of nephrectomy was 25% as reported by Vuckovic et al 3 .…”

Section: Discussionmentioning

confidence: 94%

Genitourinary Injuries During War Against Terror: A Single-Center Experience

Khan

Kiani

Nawaz

et al. 2021

PAFMJ

View full text Add to dashboard Cite

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.

show abstract

Section: Discussionmentioning

confidence: 94%

Genitourinary Injuries During War Against Terror: A Single-Center Experience

Khan

Kiani

Nawaz

et al. 2021

PAFMJ

View full text Add to dashboard Cite

show abstract

“…25 The nature of limb loss at the hip and pelvic level has major implications on the GI and GU systems, especially in the setting of IED blasts because of a lack of sufficient body armor in this area. 24,26 The most frequent locations of operation after IED blasts are the testis (20.6%), bladder (18.9%), scrotum (17.8%), and the kidneys (13.5%). 24…”

Section: Gi and Gu Functionmentioning

confidence: 99%

The lived experience of military beneficiaries with amputations at the hip and pelvic level

Spinuzza,

McHugh,

Garland

et al. 2024

Prosthetics &Amp; Orthotics International

View full text Add to dashboard Cite

Background: Hip- and pelvic-level amputations are devastating injuries that drastically alter patient function and quality of life. This study examined the experience of military beneficiaries with a hip- or pelvic-level amputation to better characterize their challenges and specific needs and to optimize treatment in the future. Methods: We conducted a retrospective review of the Military Health System and identified 118 patients with a history of one or more amputation(s) at the hip or pelvic level between October 2001 and September 2017. Surviving participants (n = 97) were mailed a letter which explained the details of the study and requested participation in a telephonic interview. A total of six individuals (one female, five males) participated in structured interviews. Results: The study group included four participants with hip disarticulations and two participants with hemipelvectomies (one internal, one external). All six participants reported significant challenges with activities related to prosthetic use, mobility, residual limb health, pain, gastrointestinal and genitourinary function, psychiatric health, and sexual function. Conclusions: These interviews highlight the unique needs of individuals with hip- and pelvic-level amputations and may improve access to higher echelons of care that would enhance the function and quality of life for these participants.

show abstract

The Isolated Surgeon: A Scoping Review

Nealeigh

Kucera

Artino

et al. 2021

Journal of Surgical Research

View full text Add to dashboard Cite

Background: Surgeons in resource-limited environments often provide care outside the expected scope of current general surgery training. Geographically isolated patients may be unwilling or unable to travel for specialty care. These same patients also present with lifethreatening emergencies beyond the typical breadth of a general surgeon's practice, in hospitals with limited professional and material support. This review characterizes the unique role of isolated surgeons, so individual surgeons and health care organizations may focus professional development resources more efficiently, with the ultimate goal of improved patient care.Methods: We performed a scoping review of the isolated surgeon, reviewing 25 years of literature regarding isolated US civilian and military surgeons. We examined emerging themes regarding the definition of an isolated surgeon, the scope of surgical practice beyond current training norms, and training gaps identified by surgeons in an isolated role.Results: From 904 articles identified, we included 91 for final review. No prior definition exists for the isolated surgeon, although multiple definitions describe rural surgeons, patients, or hospitals; we propose an initial definition from consistent themes in the literature. Isolated surgeons across varied practice settings consistently performed relatively large volumes of cases of, and identified training gaps in, orthopedic, obstetric and gynecologic, urologic, and vascular surgery subspecialties. Life-threatening, "rare-but-real" cases in the above and neurosurgical disciplines are uncommon, but consistent across practice settings.Conclusions: This review represents the largest examination of the isolated surgeon in the current literature. Clarifying the identity, practice components, and training gaps of the

show abstract

Genitourinary Surgical Workload at Deployed U.S. Facilities in Iraq and Afghanistan, 2002–2016

Cited by 6 publications

References 18 publications

Genitourinary Injuries During War Against Terror: A Single-Center Experience

Genitourinary Injuries During War Against Terror: A Single-Center Experience

The lived experience of military beneficiaries with amputations at the hip and pelvic level

The Isolated Surgeon: A Scoping Review

Contact Info

Product

Resources

About