Knipper P, Bégué T, Pasquesoone L, Guerre E, Khonsari R, Girard P, Berger A, Khachatryan L, Tchaparian M
Service de chirurgie plastique, reconstructrice et esthétique, hôpital européen Georges-Pompidou, 20, rue Leblanc, 75015 Paris, France.
Service de chirurgie orthopédique, traumatologique et réparatrice, hôpital Antoine-Béclère, AP-HP, université Paris-Saclay, 157, rue de la Porte-de-Triviaux, 92140 Clamart, France.
Ann Chir Plast Esthet. 2021 Jun;66(3):201-209. doi: 10.1016/j.anplas.2021.03.006. Epub 2021 May 7.
This work relates the experience of three French surgical missions in the care of the war wounded during the armed conflict in Nagorno Karabakh which took place from September 27 to November 10, 2020.
Three surgical missions were carried out in Armenia between October 2020 and January 2021. Surgeons intervened in different hospitals, at different times of the conflict and on various war wounds.
The presence of a plastic surgeon proved to be essential in the care of war wounded, especially in delayed emergency and secondary care. The ortho-plastic treatment offered during these missions has proven to be effective in the reconstruction of limbs. These missions made it possible to introduce the induced membrane technique of Masquelet AC in Armenia. During our visit to the Yerevan burn center, we mentioned the very probable use of white phosphorus as an etiology in several of the cases analyzed.
We relate the particular experience of civilian surgeons in the context of a modern armed conflict. The presence of a plastic surgeon proved to be indispensable in the care of war wounded and especially in their secondary reconstructions.
本文讲述了2020年9月27日至11月10日纳戈尔诺-卡拉巴赫武装冲突期间，法国三个外科医疗队救治战争伤员的经历。
2020年10月至2021年1月期间，在亚美尼亚开展了三次外科医疗任务。外科医生在不同医院、冲突的不同时间，对各类战争伤口进行了干预治疗。
事实证明，整形外科医生的参与对战争伤员的救治至关重要，尤其是在延迟急救和二期治疗中。这些任务期间提供的整形矫形治疗已被证明在肢体重建方面是有效的。这些任务使得在亚美尼亚引入马斯克莱（Masquelet）诱导膜技术成为可能。在我们访问埃里温烧伤中心期间，我们提到在分析的几例病例中，白磷很可能是病因。
我们讲述了平民外科医生在现代武装冲突背景下的特殊经历。事实证明，整形外科医生的参与对于战争伤员的救治不可或缺，尤其是在他们的二期重建中。
