Journal ArticleDOI
Combat surgical workload in Operation Iraqi Freedom and Operation Enduring Freedom: The definitive analysis.
TLDR
This study analyzes US military combat surgical workload in Iraq and Afghanistan to gain a more thorough understanding of surgical training gaps and personnel requirements and provides surgical types and surgical workload requirements that will be useful in surgical training and placement of medical assets in future conflicts.Abstract:
BACKGROUNDRelatively few publications exist on surgical workload in the deployed military setting. This study analyzes US military combat surgical workload in Iraq and Afghanistan to gain a more thorough understanding of surgical training gaps and personnel requirements.METHODSA retrospective analysread more
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Journal ArticleDOI
Abdominal trauma surgery during recent US combat operations from 2002 to 2016.
TL;DR: Surgical skills such as open laparotomy and procedures involving the bowel are crucial in war surgery and remain a necessity for the deployed US Military General Surgeons, at odds with the shifting paradigm from open to laparoscopic skills in stateside civilian and military hospitals.
Journal ArticleDOI
Trends in Surgical Volume in the Military Health System-A Potential Threat to Mission Readiness.
Austin Haag,Eugene B. Cone,Jolene Wun,Peter Herzog,Samuel Lyon,Junaid Nabi,Maya Marchese,David F. Friedlander,Quoc-Dien Trinh +8 more
TL;DR: In this article, the authors evaluated trends in the setting of high-value surgeries for beneficiaries within the Military Health System (MHS) and found that even the highest volumequartile MTFs performed a median of less than one esophagectomy, hepatectomies, or pancreatectomy per month.
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Injury patterns and causes of death in 953 patients with penetrating abdominal war wounds in a civilian independent non-governmental organization hospital in Lashkargah, Afghanistan
Maurizio Cardi,Khushal Ibrahim,Shah Wali Alizai,Hamayoun Mohammad,Marco Garatti,Antonio Rainone,Francesco Di Marzo,Giuseppe La Torre,Michela Paschetto,Ludovica Carbonari,Valentina Mingarelli,Andrea Mingoli,Giuseppe S. Sica,Simone Sibio +13 more
TL;DR: Epidemiology and patterns of injury in a civilian hospital differ from those reported in a typical military setting and might guide trauma and general surgeons treating penetrating abdominal war wounds to achieve better care and outcome.
Journal ArticleDOI
Vascular surgery during U.S. combat operations from 2002 to 2016: Analysis of vascular procedures performed to inform military training.
TL;DR: While amputation, fasciotomy, and ligation were the most common vascular procedures performed for combat trauma, the need for definitive repair including grafting is common at both R2 and R3 MTFs; military general surgeons need to train and sustain their vascular skills, including proficiency at amputation and fAsciotomy.
Journal ArticleDOI
Neurosurgical workload during US combat operations: 2002 to 2016.
TL;DR: The neuros surgical workload in Iraq and Afghanistan was examined to inform the future predeployment neurosurgical training needs of nonneurosurgical providers and to suggest that deploying general surgeons should have familiarity with trauma neurosurgery.
References
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Journal ArticleDOI
Combat wounds in operation Iraqi Freedom and operation Enduring Freedom
Brett D. Owens,John F Kragh,Joseph C. Wenke,Joseph M Macaitis,Charles E. Wade,John B. Holcomb +5 more
TL;DR: The wounding patterns currently seen in Iraq and Afghanistan resemble the patterns from previous conflicts, with some notable exceptions: a greater proportion of head and neck wounds, and a lower proportion of thoracic wounds.
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A U.S. Army Forward Surgical Team's experience in Operation Iraqi Freedom.
Tarak H. Patel,Kimberly A. Wenner,Shaun A. Price,Michael A. Weber,Autumn Leveridge,Scott J. McAtee +5 more
TL;DR: The purpose of the review is to describe the experience of the 555FST during the assault phase of Operation Iraqi Freedom, which found majority of the life threatening injuries evaluated involved EPWs.
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Combat trauma experience with the United States Army 102nd Forward Surgical Team in Afghanistan.
Alec C. Beekley,David M. Watts +1 more
TL;DR: The 102nd Forward Surgical Team was deployed to Kandahar Airfield, Afghanistan from August 2002 to March 2003, to provide trauma surgical support to units of the 101st and 82nd Airborne Divisions, to coalition special operations units, and to allied Afghan militia forces.
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Battlefield casualties treated at Camp Rhino, Afghanistan: lessons learned.
Tracy R. Bilski,Bruce C. Baker,Jay R. Grove,Robert P. Hinks,Michael J. Harrison,John Sabra,Steven M. Temerlin,Peter Rhee +7 more
TL;DR: Smaller, more mobile surgical teams will be needed more frequently in future military operations because of inability to set up current larger surgical facilities, and major problems will include long transport times.
Journal ArticleDOI
A review of casualties during the Iraqi insurgency 2006–A British field hospital experience
TL;DR: Injuries in conflict produce a pattern of injury that is not seen in routine UK surgical practice, and knowledge and training in the management of these injuries is relevant to both military and civilian surgeons.