Salisbury District Hospital, Salisbury, UK.
Injury. 2012 Jul;43(7):1037-40. doi: 10.1016/j.injury.2011.12.017. Epub 2012 Jan 10.
The operative workload at the surgical facility in Camp Bastion, Afghanistan, has previously been reported for the two-year period 1 May 2006 to 1 May 2008. There have since been considerable changes not only in the casualty rates, but also in the injury patterns encountered. Severe wounds from improvised explosive devices (IEDs) have become the signature injury of the insurgency. We present recent data for the surgical activity at the Joint Forces Medical Group Role 3 Hospital, Camp Bastion, for the two-year period 1 November 2008 to 1 November 2010.
A retrospective analysis of the operating theatre logbooks was undertaken for the period 1 November, 2008 to 1 November, 2010.
During the study period a total of 4276 cases required 5737 surgical procedures. Compared with the previously reported series from May 2006 to 2008, this represents a 2.6-fold increase in the surgical workload of the hospital. There has been a 5.7-fold increase in the number of amputations (483 during this study period, 8.4% all operative procedures), and for the lower limbs these have become increasingly proximal (48% all amputations were above-knee lower limb amputations). During the study period there were also significant increases in the frequency of perineal injuries as well as the numbers of cases involving 5 or more surgeons.
The surgical workload at the Role 3 Hospital, Camp Bastion, Afghanistan is increasing. This is a result not only of increasing casualty numbers but also of increasingly severe injury patterns. With the growing use of powerful IEDs, traumatic lower limb amputations in particular are becoming more common, and are increasingly associated with significant pelvic and perineal injury. These complex injury patterns necessitate a multi-surgeon approach, and it is important these trends are noted for future planning of medical support to military operations in Afghanistan.
此前曾报道过 2006 年 5 月 1 日至 2008 年 5 月 1 日期间在阿富汗巴斯顿营地外科设施的手术工作量。自那时以来，不仅伤亡人数发生了重大变化，而且受伤模式也发生了变化。简易爆炸装置 (IED) 造成的严重伤口已成为叛乱的标志性损伤。我们介绍了巴斯顿营地联合部队医疗组第 3 级医院 2008 年 11 月 1 日至 2010 年 11 月 1 日期间的外科活动的最新数据。
对 2008 年 11 月 1 日至 2010 年 11 月 1 日期间的手术室日志进行了回顾性分析。
在研究期间，共有 4276 例患者需要进行 5737 例手术。与之前报道的 2006 年 5 月至 2008 年的系列报道相比，这代表医院手术工作量增加了 2.6 倍。截肢手术的数量增加了 5.7 倍（本研究期间有 483 例，占所有手术的 8.4%），并且下肢截肢越来越靠近近端（所有截肢中有 48%是膝上下肢截肢）。在此期间，会阴损伤的频率以及需要 5 名或更多外科医生的病例数量也显著增加。
阿富汗巴斯顿营地第 3 级医院的手术工作量正在增加。这不仅是由于伤亡人数增加，而且还因为受伤模式日益严重。随着强大的 IED 的广泛使用，特别是创伤性下肢截肢越来越常见，并且与严重的骨盆和会阴损伤越来越相关。这些复杂的损伤模式需要多外科医生的方法，重要的是要注意这些趋势，以便为未来在阿富汗的军事行动规划医疗支持。
