[Clinico-statistical analysis of the approach to retained foreign bodies in the extremities].
The investigation in 200 wounded in battles was performed by clinical-statistic analysis. The aim of the study was to analyze the procedure with foreign bodies in the extremities after the primary surgical management of the wound. It was established that primary surgical management of the wound, besides the coexisting difficulties (field work conditions, impaired supply etc.), was correctly performed with the early administration of 2 prophylactic antibiotics (Longaceph, Garamycin, Tolycar and Penicillin) in therapeutical doses during 3 to 10 days after the wounding. The "finishing" which included the repair of incompletely performed primary surgical management of the wound: incomplete nephrectomy, unadequate hemostasis, drainage, incorrect immobilization, etc. was performed in 32% of the wounded. The results imply that the accessible foreign bodies near the wound were removed without the excessive damage to the adjoining soft tissue. After the whole treatment, 3% of war wounds were found to be infected. Two fistulas from foreign bodies and 4 osteites were noticed and they were cured by the surgical treatment and antibiotic therapy.
Ivanovski
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Vojnomedicinski centar, Odeljenje za hirurske bolesti-Odsek za ortopediju i traumatologiju, Novi Sad.
D000293:Adolescent; D000328:Adult; D019072:Antibiotic Prophylaxis; D005121:Extremities / Q000293:injuries*; D005547:Foreign Bodies / Q000628:therapy*; D006801:Humans; D008875:Middle Aged; D011446:Prospective Studies; D014857:Warfare; D014946:Wound Infection / Q000517:prevention & control; D014948:Wounds, Gunshot / Q000628:therapy*; D015022:Yugoslavia