Surgical outcomes of a civil war in a neighbouring country

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dc.authoridUgur, Mustafa/0000-0002-5922-2367
dc.contributor.authorAkkucuk, Seckin
dc.contributor.authorAydogan, A.
dc.contributor.authorYetim, I.
dc.contributor.authorUgur, M.
dc.contributor.authorOruc, C.
dc.contributor.authorKilic, E.
dc.contributor.authorPaltaci, I.
dc.date.accessioned2024-09-18T21:00:22Z
dc.date.available2024-09-18T21:00:22Z
dc.date.issued2016
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractObjectives The civil war in Syria began on 15 March 2011, and many of the injured were treated in the neighbouring country of Turkey. This study reports the surgical outcomes of this war, in a tertiary centre in Turkey. Methods 159 patients with civilian war injuries in Syria who were admitted to the General Surgery Department in the Research and Training Hospital of the Medical School of Mustafa Kemal University, Hatay, Turkey, between 2011 and 2012 were analysed regarding the age, sex, injury type, history of previous surgery for the injury, types of abdominal injuries (solid or luminal organ), the status of isolated abdominal injuries or multiple injuries, mortality, length of hospital stay and injury severity scoring. Results The median age of the patients was 30.05 (18-66years) years. Most of the injuries were gunshot wounds (99 of 116 patients, 85.3%). Primary and previously operated patients were transferred to our clinic in a median time of 6.284.44h and 58.11 +/- 44.08h, respectively. Most of the patients had intestinal injuries; although a limited number of patients with colorectal injuries were treated with primary repair, stoma was the major surgical option due to the gross peritoneal contamination secondary to prolonged transport time. Two women and 21 men died. The major cause of death was multiorgan failure secondary to sepsis (18 patients). Conclusions In the case of civil war in the bordering countries, it is recommended that precautions are taken, such as transformation of nearby civilian hospitals into military ones and employment of experienced trauma surgeons in these hospitals to provide effective medical care. Damage control procedures can avoid fatalities especially before the lethal triad of physiological demise occurs. Rapid transport of the wounded to the nearest medical centre is the key point in countries neighbouring a civil war.en_US
dc.identifier.doi10.1136/jramc-2015-000411
dc.identifier.endpage260en_US
dc.identifier.issn0035-8665
dc.identifier.issn2052-0468
dc.identifier.issue4en_US
dc.identifier.pmid26055069en_US
dc.identifier.scopus2-s2.0-84979787931en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage256en_US
dc.identifier.urihttps://doi.org/10.1136/jramc-2015-000411
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12633
dc.identifier.volume162en_US
dc.identifier.wosWOS:000382580000007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBmj Publishing Groupen_US
dc.relation.ispartofJournal of The Royal Army Medical Corpsen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectTRAUMA MANAGEMENTen_US
dc.titleSurgical outcomes of a civil war in a neighbouring countryen_US
dc.typeArticleen_US

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