Our Experiences with Chest Trauma Patients in Syrian Civil War

Günay, Şamil; Eser, İrfan; Kürkçüoğlu, İbrahim Can

doi:10.4328/jcam.2247

Cited by 2 publications

(2 citation statements)

References 3 publications

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“…Patients who develop hemopneumothorax after chest trauma are followed up after tube thoracotomy. In case of an increase in hemothorax or pneumothorax and meeting the criteria of emergency thoracotomy, the patient is treated with thoracotomy [11,12]. In our study, 50 (45,45%) patients had pneumothorax, hemothorax, or both.…”

Section: Discussionmentioning

confidence: 70%

Single center experience of war-related thoracic injury in Syria

Ulusan

Tunca

Şanlı

et al. 2020

Preprint

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Background: The Syrian civil war caused serious deaths and injuries. Thoracic surgery has shown its effectiveness in this war as it is a war surgery. In this study, we analyzed war related chest trauma patients to describe the profile of chest trauma, determine the predictors’ morbidity and mortality. Methods: From 2012 to 2017, 47 consecutive patients underwent surgical treatment for chest trauma at the Gaziantep University Sahinbey Research and Practice Hospital, in Turkey. The demographic and relevant clinical information were retrospectively collected from the hospital records. Data included mechanism of injury, gender, and age, findings, treatment modality complications, and length of hospital stay, morbidity and mortality. Injuries were classified as penetrating (gunshot or shrapnel wounds) and blunt injuries. Results: The average age of patients was 25.4 years (range, 4 to 43 years) and 40 patients were males (85%). Sadly, 6 patients were under 18 years old. There were 41 patients (%87,2) penetrating and 6 patients (%12,8) blunt injuries. The most penetrating injuries of the chest were caused by shrapnel (61,7%). Eleven patients had already had emergency thoracotomy in another hospital before admission. As multiple diagnoses, there were 50 (45,45%) pneumothorax, hemothorax, or both in patients. However, there were 26 (23,64%) lung contusions in patients. No surgery-related deaths or major morbidity occurred. One patient died 35 days after admission; the causes of death in this patient included bronchobiliary fistula, hypovolemic shock, and sepsis. So, all cases mortality rate was 2,13%. Conclusion : Intervention in thoracic trauma patients is life-saving and satisfying compared to other system injuries. War surgery is a multidisciplinary approach, which is vital.

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Section: Discussionmentioning

confidence: 70%

Single center experience of war-related thoracic injury in Syria

Ulusan

Tunca

Şanlı

et al. 2020

Preprint

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“…Kristek et al [17] , Syria (2012 -2013) by Günay et al [23] (Turkey), and Bosnia and Herzegovina (1992 -1995) by Dediae et al [3] . The overall complications occurred in 54.8% of our patients.…”

Section: Discussionmentioning

confidence: 99%

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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Our Experiences with Chest Trauma Patients in Syrian Civil War

Cited by 2 publications

References 3 publications

Single center experience of war-related thoracic injury in Syria

Single center experience of war-related thoracic injury in Syria

War Thoracic Wounds Among Civilians Casualties in Aden During the 2015

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