Genitourinary Trauma at a Combat Support Hospital During Operation Iraqi Freedom: The Impact of Body Armor

Paquette, Edmond L.

doi:10.1016/j.juro.2007.01.132

Cited by 52 publications

(26 citation statements)

References 17 publications

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“…[1][2][3][4][5][6][7][8][9][10][11] Likewise, the historical data on recent conflicts show external GU injuries ranging from 29.4 to 68.1% of all GU trauma. 1,8,12,13 Previous OIF data showed a 2.8% GU injury rate with 55% of this group involving the external genitalia.…”

Section: Discussionmentioning

confidence: 99%

“…[1][2][3][4][5][6][7][8] Although injuries to the external genitalia are typically not in and of themselves life threatening, they are commonly associated with other potentially life-threatening injuries (for example, to abdomen, pelvis or groin). Furthermore, injuries to the external genitalia can result in substantial long-term urinary, hormonal and sexual dysfunction and concomitant psychosocial distress to the casualties.…”

Section: Introductionmentioning

confidence: 99%

“…1 Our report details the incidence and treatment of injuries to the external genitalia with special emphasis on the high frequency of penetrating mechanisms. 1 The registry prospectively collects data on trauma patients in OIF. Data in the JTTR are obtained from a systematic review of available inpatient medical records from the United States Army Health Services Support System.…”

Section: Introductionmentioning

confidence: 99%

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Penetrating trauma to the external genitalia in Operation Iraqi Freedom

et al. 2008

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This report details the incidence and description of trauma to the external genitalia experienced during Operation Iraqi Freedom at a United States Army Combat Support Hospital, and demonstrates that acceptable rates of testicular salvage are possible in the combat setting. The operating room logs and the Joint Theater Trauma Registry were used to conduct a retrospective review of the patients who sustained genitourinary (GU) injuries at an US Army Combat Support Hospital (CSH) in Iraq from 27 February 2007 to 14 August 2007. Of the 3595 battle trauma injuries seen at the CSH during the time period, 168 (4.7%) had one or more GU injuries for a total of 172 GU injuries. Of these patients, 115 (68%) with GU injuries had one or more injuries to the external genitalia for a total of 119 external GU injuries. Penetrating trauma to the penis and scrotum accounted for 59 of the injuries. In total, 43 testicles were injured in 34 patients (9 had bilateral injuries). In total, 32 testes were repaired primarily and 11 were removed. Injuries to the external genitalia continue to account for the vast majority of GU trauma in a combat setting. Of patients who presented with penetrating testicular trauma, there was a 74.4% salvage rate, which is higher than previous reports of combat external genitalia injuries. Treatment of penetrating trauma to the external genitalia in a combat setting requires attention to tissue preservation while coordinating associated surgical procedures.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Penetrating trauma to the external genitalia in Operation Iraqi Freedom

et al. 2008

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“…With new threats, the United States (US) military has responded with an ongoing evolution of protective measure. Improvements in individual protective gear have increased survival in US forces, although the extremities remain exposed leading to severe extremity injuries in survivors [3][4][5][6][7][8][9][10]. These high-energy injuries consume a disproportionate amount of medical resources and are responsible for most long-term disabilities [7,8,11].…”

Section: Introductionmentioning

confidence: 99%

The effect of vehicle protection on spine injuries in military conflict

et al. 2012

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RESULTS:In total, 1,819 spine fractures occurred over the entire study period. Four hundred seventy-two fractures (26%) were sustained in 145 servicemembers who were mounted at the time of injury, and 1,347 (74%) were sustained by 404 servicemembers who were dismounted (p!.0005). The incidence of fractures in the dismounted cohort (D1þD2) was significantly higher than in the mounted cohort (M1þM2) The disclosure key can be found on the The spinal cord injury (SCI) incidence did not change in the mounted groups in Time Period 1 (7 of 71, 9.9%) versus Time Period 2 (7 of 74, 9.5%) (p5.935). In the dismounted groups, SCI actually decreased from D1 (55 of 228, 24%) to D2 (28 of 176, 16%) (p5.0428). CONCLUSIONS: The incidence of spine fractures and SCI is significantly higher in dismounted operations. The data suggest that current uparmored vehicles convey greater protection against spinal fracture compared with dismounted operations in which servicemembers are engaged on foot, outside their vehicles. The TL junction is at greatest risk for spine fractures sustained in mounted and dismounted combat operations. Recently, the incidence of TL fractures, especially severe fractures, has significantly increased in mounted operations. Although there has been an increased incidence of TL spine fractures, in context of the number of servicemembers deployed in support of Operation Enduring Freedom/Operation Iraqi Freedom, these severe fractures still represent a relatively rare event. Published by Elsevier Inc.

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“…Yine el bombası ve yüksek hızlı silah (hava savunma) atışlarına bağlı anorektum yaralanmalarında doku harabiyeti ve kaybıyla komplikasyon oranları oldukça fazladır (6,7) . Aynı penetran travmalarda olduğu gibi çevre organlarda özellikle de genito üriner bölgede ek yaralanmalar oluşabilmekte-dir (8) . Çevre organların ötesinde bazı durumlarda karaciğer, mide, ince bağırsak, böbrek veya pankreasta penetran veya künt travma meydana gelebilmektedir.…”

Section: Introductionunclassified