Reconstructive challenges in war wounds

Bhandari, PS; Maurya, Sanjay; Mukherjee, M. K.

doi:10.4103/0970-0358.101316

Cited by 25 publications

(10 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In firearms injuries, three components can be distinguished: entry port, trajectory, and exit site [10].…”

Section: Ballisticsmentioning

confidence: 99%

Management and Treatment of Wounds by Projectile from a Firearm in Hand in the Plastic and Reconstructive Surgery Service of the Central Military Hospital in Two Years

Vera¹,

Silva²,

Yépez³

2021

JCSR

View full text Add to dashboard Cite

Introduction: Gunshot wounds are a major cause of morbidity and lead to serious socioeconomic problems. Wounds often causing severe functional sequelae. Therefore, it is vitally important to provide proper management of these wounds. OBJECTIVES: Define the treatment of gunshot wounds at the Central Military Hospital in the period from March 2019 to March 2021. Material and Methods: It is a descriptive, retrospective, observational study, RESULTS: Patients who fulfilled the diagnosis presented 3 metacarpal fractures (27.27%), 2 metacarpal and phalangeal fractures (18.18%), 2 fractures of phalanges (18.18%), 1 carpal + metacarpal fractures (9.09%), 3 with injury only to skin cell tissue without evidence of fractures (27.27%). Therapeutic management: 3 patients received external fixator, 2 ORIF, 1 external fixator + ORIF + inguinal flap + bone graft, 1 external fixator + bone graft + ORIF, 0 wound closure, 4 management with wet therapy, CONCLUSIONS: The wounds By firearm in hand are frequent injuries, which merit immediate treatment. This depends on the complexity of the injury for a speedy recovery and integration into the workplace.

show abstract

“…In firearms injuries, three components can be distinguished: entry port, trajectory, and exit site [10].…”

Section: Ballisticsmentioning

confidence: 99%

Management and Treatment of Wounds by Projectile from a Firearm in Hand in the Plastic and Reconstructive Surgery Service of the Central Military Hospital in Two Years

Vera¹,

Silva²,

Yépez³

2021

JCSR

View full text Add to dashboard Cite

show abstract

“…As war casualties "generally reach the reconstructive surgery center after a delayed period due to additional injuries to the vital organs. This delay in their transfer to a tertiary care center is responsible for progressive deterioration in wound conditions" (Maurya et al 2012). For justice to be noticeable in the health system and for emergency preparedness endeavors to work at all, there is a need for economic and other operational reforms in healthcare.…”

Section: Mitigating the Effects Of Warmentioning

confidence: 99%

War as an Endemic Disease: Towards a New Paradigm Shift

Arawi¹,

Abu-Sittah²

2020

Handbook of Healthcare in the Arab World

View full text Add to dashboard Cite

The world has witnessed a culture of violence and war for some time now. This is more so in the Middle East than perhaps in any other region on the planet. Protracted conflicts have often succeeded in destroying public health services in disaster areas such as Yemen, Iraq, Syria, Palestine, South Sudan, etc. The issue of public health crises in war has been frequently addressed. Building on Kuhn's theory of paradigm shifts, we argue for the importance of classifying wars under a new paradigm, mainly as an endemic. It is this new conceptual framework that will allow one to reverse or mitigate the effects of war and that will have impact on much needed revised healthcare policies, education, laws, and regulations.

show abstract

“…The use of negative pressure wound therapy (NPWT) in war wounds was first reported in 2004, and it represents a new approach in war wound reconstruction (Bhandari et al. 2012 ). In recent years, NPWT has become an accepted option for managing and treating trauma cases (Kanakaris et al.…”

Section: Introductionmentioning

confidence: 99%

Computational modelling of wounded tissue subject to negative pressure wound therapy following trans-femoral amputation

Zeybek

Fernandez

et al. 2017

Biomech Model Mechanobiol

View full text Add to dashboard Cite

Proof-of-concept computational models were developed and applied as tools to gain insights into biomechanical interactions and variations of oxygen gradients of wounded tissue subject to negative pressure wound therapy (NPWT), following trans-femoral amputation. A macro-scale finite-element model of a lower limb was first developed based on computed tomography data, and distributions of maximum and minimum principal stress values we calculated for a region of interest (ROI). Then, the obtained results were applied iteratively as new sets of boundary conditions for a specific spatial position in a capillary sub-model. Data from coupled capillary stress and mass- diffusion sub-models were transferred to the macro-scale model to map the spatial changes of tissue oxygen gradients in the ROI. The −70 mmHg NPWT resulted in a dramatic change of a wound surface area and the greatest relative contraction was observed at −150 mmHg. Tissue lateral to the depth of the wound cavity revealed homogenous patterns of decrease in oxygenation area and the extent of such decrease was dependent on the distance from the wound surface. However, tissue lateral to the width of the wound demonstrated heterogeneous patterns of change, as evidenced by both gradual increase and decrease in the oxygenation area. The multiscale models developed in the current study showed a significant influence of NPWT on both macro-deformations and changes of tissue oxygenation. The patterns of changes depended on the depth of the tissue, the geometry of the wound, and also the location of tissue plane.Electronic supplementary materialThe online version of this article (doi:10.1007/s10237-017-0921-7) contains supplementary material, which is available to authorized users.

show abstract

Reconstructive challenges in war wounds

Cited by 25 publications

References 29 publications

Management and Treatment of Wounds by Projectile from a Firearm in Hand in the Plastic and Reconstructive Surgery Service of the Central Military Hospital in Two Years

Management and Treatment of Wounds by Projectile from a Firearm in Hand in the Plastic and Reconstructive Surgery Service of the Central Military Hospital in Two Years

War as an Endemic Disease: Towards a New Paradigm Shift

Computational modelling of wounded tissue subject to negative pressure wound therapy following trans-femoral amputation

Contact Info

Product

Resources

About