The Siege of Tripoli 1983: War Surgery in Lebanon

Fosse, Erik; Husum, Hans; Giannou, Chris

doi:10.1097/00005373-198805000-00017

Cited by 12 publications

(12 citation statements)

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“…The evacuation time, climate, and availability of medical resources will impact the outcome of surgical management of war-injured patients [3]. Shortening the evacuation time in the prehospital setting reduced the war-related mortality [4-6], while prolonged evacuation resulted in high mortality [7]. …”

Section: Introductionmentioning

confidence: 99%

Management of war-related vascular injuries: experience from the second gulf war

et al. 2013

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AimTo study the biomechanism, pattern of injury, management, and outcome of major vascular injuries treated at Mubarak Al-Kabeer Teaching Hospital, Kuwait during the Second Gulf War.MethodsThis is a descriptive retrospective study. War-related injured patients who had major vascular injuries and were treated at Mubarak Al-Kabeer Teaching Hospital from August 1990 to September 1991 were studied. Studied variables included age, gender, anatomical site of vascular injury, mechanism of injury, associated injuries, type of vascular repair, and clinical outcome.Results36 patients having a mean (SD) age of 29.8 (10.2) years were studied. 32 (89%) were males and 21 (58%) were civilians. Majority of injuries were caused by bullets (47.2%) and blast injuries (47.2%). Eight patients (22%) presented with shock.There were 31 arterial injuries, common and superficial femoral artery injuries were most common (10/31). Arterial repair included interposition saphenous vein graft in seven patients, thrombectomy with end-to-end / lateral repair in twelve patients, vein patch in two patients, and arterial ligation in four patients. Six patients had arterial ligation as part of primary amputation. 3/21 (14.3%) patients had secondary amputation after attempted arterial vascular repair of an extremity. There were a total of 17 venous injuries, 13 managed by lateral suture repair and 4 by ligation. The median (range) hospital stay was 8 (1–76) days. 5 patients died (14%).ConclusionsMajor vascular injuries occurred in 10% of hospitalized war-related injured patients. Our secondary amputation rate of extremities was 14%. The presence of a vascular surgeon within a military surgical team is highly recommended. Basic principles and techniques of vascular repair remain an essential part of training general surgeons because it may be needed in unexpected wars.

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Section: Introductionmentioning

confidence: 99%

Management of war-related vascular injuries: experience from the second gulf war

et al. 2013

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“…It is wise to weigh the risks of leaving the impacted intrathoracic foreign body with the risks of trying to remove it as well as the possible significant psychological problems. 8–12 Our indications to remove retained foreign bodies are significant hemothorax, persistent traumatic lung collapse, delayed lung collapse, moderately severe hemopericardium, major vascular injury, and a bulging mass of unknown nature. Occasionally, removal of a retained intrathoracic foreign body is indicated only by the presence of significant psychological problems, a nonmetallic foreign body, or a large metallic object with sharp edges.…”

Section: Discussionmentioning

confidence: 99%

“…Occasionally, removal of a retained intrathoracic foreign body is indicated only by the presence of significant psychological problems, a nonmetallic foreign body, or a large metallic object with sharp edges. 11,12…”

Section: Discussionmentioning

confidence: 99%

Impacted thoracic foreign bodies after penetrating chest trauma

Sersar

Albohiri

Abdelmohty

2016

Asian Cardiovasc Thorac Ann

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“…The workload in aw ar time hospital to treat acute and chronic conditions is enormous. Fosse et al reported how the use of experienced nurses for minor debridements and other non-operative procedures was able to expand the capacity of the facility during the siege of Tripoli (52). As tudy by Gertsch undertaken in Pakistan found that therewas no correlation between operative time and patient outcome or increased postoperative workload (61).…”

Section: Emergent Phasementioning

confidence: 99%

Surgery and Refugee Populations

Kushner¹,

Groen²,

Kingham³

2009

Scand J Surg

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although infectiousdiseases, malnutrition and diarrhea account for the vast majority of deaths in many crisis situations, many individuals also suffer from traumatic injuries and other surgically treatable conditions. understanding the determinants involved in surgical interventions is facilitated by defining baseline, emergent and chronic phases for refugees and internally displaced populations. international aid organizations often expend vast resources on surgical interventions. More detailed assessments and further study may help provide insight into optimizing the success and minimizing the cost of such interventions. this article is ar eview of the surgical and disaster literature and defines issues for further study.

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The Siege of Tripoli 1983: War Surgery in Lebanon

Cited by 12 publications

References 0 publications

Management of war-related vascular injuries: experience from the second gulf war

Management of war-related vascular injuries: experience from the second gulf war

Impacted thoracic foreign bodies after penetrating chest trauma

Surgery and Refugee Populations

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