Spécificité de la chirurgie de guerre et capacités du service de santé des armées

Introduction : Ballistic trauma are responsible for variable multitissue lesions which management is different from the usual traumatology. The purpose of this study is to report the experience of Togo Level 2 Hospital of Kidal on ballistic trauma in operational zone in North Mali. Methodology : It was a retrospective descriptive and transversal study on 22 months, from November 1, 2015 to August 31, 2017 ; including projectiles injured admitted to the Togo Level 2 Hospital of Kidal. Results : One hundred and fifty-two injured including 149 men and 3 women were registered. The average age was 29.6 years (extremes : 19 years and 56 years). The soldiers were the most affected (92.8%). Shrapnel were the main lesion agents (73.7%). Soft tissue lesions were predominant (65.1%), followed by fractures (15.1%). Members were the most affected sites. The management consisted of the search and the correction of the vital distress, and the specific care of ballistic lesions. The outcome was favorable for 115 injured (75.6%). 21 injured (13.8%) were evacuated to a higher level hospital. 16 cases (10.5%) of death including 15 (9.8%) before admission were registered. Conclusion : The management of injured according to the priciples of war surgery conditions the prognosis.

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Traumatismes Balistiques en Zone Opérationnelle: Expérience de l’Hôpital Niveau 2 Togo de Kidal

Koutora

Amavi

Akpoto

et al. 2019

ESJ

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Spécificité de la chirurgie de guerre et capacités du service de santé des armées

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Traumatismes Balistiques en Zone Opérationnelle: Expérience de l’Hôpital Niveau 2 Togo de Kidal

Traumatismes Balistiques en Zone Opérationnelle: Expérience de l’Hôpital Niveau 2 Togo de Kidal

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