Stručni rad
Comparison of the Results of Surgical and Non-surgical Treatment of Combat Urogenital Injuries in Bosnia War 1992–1995
Dino Zalihić
Amra Zalihić
Sažetak
Goal was to compare the results of surgical and non-surgical treatments of combat injuries of genitourinary system
and to compare our data with data collected in the recent studies. The study was designed as a retrospective review of
data collected in prospective databases. The data extracted from inpatients’ medical records included demographics,
mechanisms and type of injury, distribution of the lesions, clinical presentation features, applied diagnostic studies,
treatment modalities, types of complication and results of treatment. Among 4.125 patients treated in the Mostar War
Hospital, 111 had injury of genitourinary tract: 62 underwent a surgical and 49 non-surgical treatment. Mortality
among operated patients was 16 (26%). Complications were noted in 47 patients (42%); in 33 (70%) were manifested as
early complications, and 14 (30) as delayed ones (p=0.006). Among the surgically treated patients, 40 (36%) had some
complication, in comparison to 8 (7.2%) patients with complications among non-surgically treated patients; which represent
a statistically significant difference (p<0.05). In this study, there was a surprisingly high number of non-surgically
treated patients, and this sub-group of UGT trauma patients had in some ways the superior treatment results in comparison
with surgically treated patients. Conservatively treated patients had lower rate of complications, no mortality, and
no patients with permanent disability.
Ključne riječi
urogenital tract combat injuries; military medicine; Bosnia-Herzegovina 1992–1995 war
Hrčak ID:
64792
URI
Datum izdavanja:
7.3.2011.
Posjeta: 908 *