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Gazzetta Medica Italiana Archivio per le Scienze Mediche 2005 October;164(5):441-3

Copyright © 2005 EDIZIONI MINERVA MEDICA

language: Italian

Surgical treatment limits of military ballistics extraction in war period

Maculotti L., Portalupi W.

U.O. di Chirurgia Generale, Ospedale attendato CRI, Baghdad, Iraq


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The aim of the report was to test the possible technical difficulties in the military retained bullet extraction, using poor technologies in the field hospital. In 2 months period 65 patients were examined. Antibiotic prophylaxis routinely was administered. Bullet extraction was done in the 80% of the patients, 23% in local anaesthesiology and 77% in general, spinal and plessic anaesthesiology. The bullets localized in the head and in the neck (26%), in the thorax (19%), in the abdomen (23%), in the superior (21%) and in the inferior limbs (34%) were extracted successfully (100%) without iatrogenic injury. A death by septic shock was registered. Topographic anatomy knowledge and surgical skill are qualifications for the outcome, overall in the difficult localizations, like vertebral column, axillary space with retroclavicular wound, in the costophrenic sinus, in the mesorectum, in the gluteus minimus and in the hold fractures of the humerus head.

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