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War Wounds — Changing Concepts
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War Wounds — Changing Concepts
BM Nagpal,Capt SK Mohanty,GL Tiwari,RPS Gambhir,Y Singh. War Wounds — Changing Concepts[J]. Medical Journal Armed Forces India, 2002, 58(3): 192-195. DOI: 10.1016/S0377-1237(02)80127-7
Authors:BM Nagpal  Capt SK Mohanty  GL Tiwari  RPS Gambhir  Y Singh
Affiliation:*Professor and Head, Department of Surgery, Armed Forces Medical College, Pune - 411 040;+Senior Adviser (Surgery), INHS Asvini, Colaba, Mumbai - 400 005;#Senior Adviser (Surgery), Military Hospital, Jabalpur;**Graded Specialist (Surgery), Military Hospital, Jabalpur;++Commandant, Military Hospital, Agra
Abstract:
The accepted standard treatment of war wounds through the last century has been debridement and delayed primary closure. However, recently, there has been a renewed Interest In primary closure of these wounds. 1481 war wounds were managed by the authors and out of 789 soft tissue injuries, 389 (47%) were closed primarily (group 1) after meticulous debridement and 220 (28%) underwent delayed primary closure (group 2). The infection rate in group 1 was 4.87% compared to 6.36% in group 2. The average hospital stay in group 1 was 15 days, significantly shorter by 10 days than in group 2. In the war zone both time and resources are at a premium and primary closure of selected wounds offers a better alternative to delayed primary closure.Key Words: Debridement, Delayed primary closure, Primary closure, War Wounds
Keywords:Debridement  Delayed primary closure  Primary closure  War Wounds
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