TY  - JOUR
PY  - 2016//
TI  - Challenges in war-related thoracic injury faced by French military surgeons in Afghanistan (2009-2013)
JO  - Injury
A1  - Lesquen, Henri de
A1  - Beranger, Fabien
A1  - Berbis, Julie
A1  - Boddaert, Guillaume
A1  - Poichotte, Antoine
A1  - Pons, François
A1  - Avaro, Jean-Philippe
SP  - 1939
EP  - 1944
VL  - 47
IS  - 9
N2  - BACKGROUND: This study reports the challenges faced by French military surgeons in the management of thoracic injury during the latest Afghanistan war. <br><br>METHODS: From January 2009 to April 2013, all of the civilian, French and Coalition casualties admitted to French NATO Combat Support Hospital situated on Kabul were prospectively recorded in the French Military Health Service Registry (OPEX(®)). Only penetrating and blunt thoracic trauma patients were retrospectively included. <br><br>RESULTS: Eighty-nine casualties were included who were mainly civilian (61%) and men (94%) with a mean age of 27.9 years old. Surgeons dealt with polytraumas (78%), severe injuries (mean Injury Severity Score=39.2) and penetrating wounds (96%) due to explosion in 37%, gunshot in 53% and stabbing in 9%. Most of casualties were first observed or drained (n=56). In this non-operative group more than 40% of casualties needed further actions. In the operative group, Damage Control Thoracotomy (n=22) was performed to stop ongoing bleeding and air leakage and Emergency Department Thoracotomy (n=11) for agonal patient. Casualties suffered from hemothorax (60%), pneumothorax (39%), diaphragmatic (37%), lung (35%), heart or great vessels (20%) injuries. The main actions were diaphragmatic sutures (n=25), lung resections (wedge n=6, lobectomy n=4) and haemostasis (intercostal artery ligation n=3, heart injury repairs n=5, great vessels injury repairs n=5). Overall mortality was 11%. The rate of subsequent surgery was 34%. <br><br>CONCLUSIONS: The analysis of the OPEX(®) registry reflects the thoracic surgical challenges of general (visceral) surgeons serving in combat environment during the latest Afghanistan War.<br><br>Copyright © 2016 Elsevier Ltd. All rights reserved.<p />  <p>Language: en</p>
LA  - en
SN  - 0020-1383
UR  - http://dx.doi.org/10.1016/j.injury.2016.06.008
ID  - ref1
ER  -