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Surgery for war victims is different from the type of surgery practiced for civilians inflicted with injuries. War wounds are different
from civilian injuries as they are always extremely contaminated, massive and with damage of vessels, bones and other tissues.
The doctrines of surgery for war injuries are known for longtime but needs to be relooked and revised by new generation of
surgeons working in war situations.
The aims and objectives of war surgery are to; Saving Life, Limbs Saving, Rehabilitation, Minimize disability, Prevention of infectious
complications
The outcome of weapon wounded is influenced by different factors like injury type, general condition, first aid, time consumption
for shifting to hospital, treatment quality and possibility of shifting to a better equipped facilities with experienced staff. All of the
above factors should be taken into consideration by the military1.The organization of care in some countries, is so effectual that any
person who is wounded can receive treatment comparable to any situation in peace time. However in developing countries, the
health delivery system might have been frail before the start of conflict or may be almost ineffective because of the conflict2. Utility
supplies can be unreliable, trained personnel usually leave the area, disposables and drugs can’t be replaced, and buildings could
have been destroyed. If doctors and nursing staff have the knowledge and enthusiasm with just basic technology, weapon wounded
patients can be treated with reasonable results. The initial treatment provided at the site of wounding or at the safe place near the
area of conflict and quick evacuation is of utmost importance, because mortality and morbidity increases with delay in wounding
and treatment. The final result will be better if the first aid is more effective and evacuation to a hospital is quicker. On the contrary,
if initial treatment is not adequate or unavailable and the evacuation plan is longer, then the outcome will be decided by nature.
Salman Ahmed Tipu. (2018) War Surgery, Isra Medical Journal, Volume 10, 01.
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