Khan Mansoor, Aziz Asif, Naz Shazia, Khan Imran M, Ullah Atif, Ullah Hidayat, Ullah Tahmeed, Tahir Muhammad
Department of Plastic and Reconstructive Surgery, Hayatabad Medical Complex, Peshawar, Pakistan.
Indian J Plast Surg. 2012 Sep;45(3):538-45. doi: 10.4103/0970-0358.105970.
To analyse the demographics, mechanism, nature, anatomical distribution, management and complications in trauma patients presenting to the plastic surgery unit.
Descriptive cross-sectional study.
This study was conducted in the Plastic and Reconstructive Surgery Unit, Hayatabad Medical Complex, Peshawar, from 1(st) January 2009 to 30(th) April 2012.
All trauma patients referred from emergency department and other departments irrespective of age and gender were enrolled in the study, excluding acute burns and trauma sequelae patients. The details were obtained from the data sheets of the patients. All the data were analysed and projected in the form of tables and figures.
A total of 1034 patients including 855 (82.7%) males and 179 (17.3%) females presented with plastic surgical trauma, with age ranging from 1 to 86 years, with a mean age of 20.84 ± 15.469 SD. The upper limb was affected in 492 (47.6%) patients, followed by head and neck in 273 (26.4%) cases. Road traffic accidents (RTAs) were the main cause of trauma, affecting 340 (32.9%) patients. Wound excision and closure was performed in 473 (45.7%) patients, followed by skin grafting and flap coverage in 232 (22.4%) and 132 (13.2%) patients, respectively. Postoperative complications were observed in 45 (4.35%) patients.
Males in their young age mainly presented with plastic surgical trauma with RTA as the main mechanism and laceration as the most common type of these injuries. The upper limb was the most commonly affected region. The frequency of different types of surgical procedures and postoperative complications observed are comparable with international literature except for the microvascular surgery which is not performed in our centre. Regular audit of the plastic surgical trauma should be conducted in all plastic surgical units to both improve trauma care and reaffirm the role of Plastic Surgery in the new age trauma.
分析整形外科收治的创伤患者的人口统计学特征、致伤机制、损伤性质、解剖分布、治疗及并发症情况。
描述性横断面研究。
本研究于2009年1月1日至2012年4月30日在白沙瓦哈亚塔巴德医疗中心整形外科进行。
纳入所有从急诊科及其他科室转诊而来的创伤患者，不限年龄和性别，但排除急性烧伤和创伤后遗症患者。从患者数据表中获取详细信息。所有数据经分析后以表格和图表形式呈现。
共有1034例患者因整形外科创伤就诊，其中男性855例（82.7%），女性179例（17.3%），年龄范围为1至86岁，平均年龄为20.84±15.469标准差。492例（47.6%）患者上肢受伤，其次是头颈部，有273例（26.4%）。道路交通事故（RTA）是创伤的主要原因，影响了340例（32.9%）患者。47（45.7%）例患者接受了伤口切除缝合，分别有232例（22.4%）和132例（13.2%）患者接受了植皮和皮瓣覆盖。45例（4.35%）患者出现术后并发症。
年轻男性主要因整形外科创伤就诊，道路交通事故是主要致伤机制，撕裂伤是最常见的损伤类型。上肢是最常受累的部位。除了我们中心未开展的微血管手术外，观察到的不同类型手术操作频率和术后并发症与国际文献相当。所有整形外科单位应定期对整形外科创伤进行审核，以改善创伤护理并重申整形外科在新时代创伤治疗中的作用。
