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Twenty-Two Months' War Surgery in Vietnam

Twenty-Two Months' War Surgery in Vietnam Abstract The continuous surgical experience of the 27th Surgical Hospital in Chu Lai, Vietnam, from March 1968 through February 1970 and includes 7,314 surgical admissions and 5,231 major operations. Of 624 chest injuries requiring chest tubes only 104 (16.5%) required thoracotomy, thus indicating that the majority can be handled by tube drainage. "Contused lung," in which the injury is localized and symptoms uncontrollable may be a definite indication for lobectomy. There were 1,409 laparotomies in which 1,741 organ injuries were found. The negative exploration rate was 13.5%. Of 171 vascular repairs, there were 29 failures (17%). The failure rate was highest for popliteal artery repair at 35%. This is similar to the experience of others and may reflect either inexperience or an approach that is too conservative towards initial amputation. References 1. Jones EL, Peters AF, Gasior RM: Early management of battle casualties in Vietnam . Arch Surg 97:1-15, 1968.Crossref 2. Feltis J: Surgical experience in a combat zone . Amer J Surg 119:275, 1970.Crossref 3. Tassi AA, Davies AL: Pericardial tamponade due to penetrating fragment wounds of the chest . Amer J Surg 118:535-538, 1969.Crossref 4. Williams GD: Contused lung syndrome . USARV Med Bull , 1967, pp 47-48. 5. Huller T, Bazini Y: Blast injuries of the chest and abdomen . Arch Surg 100:24-30, 1970.Crossref 6. Lindberg EF, Grinnan GLB, Smith L: Acalculous cholecystitis in Vietnam casualties . Ann Surg 171: 152-157, 1970.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Twenty-Two Months' War Surgery in Vietnam

Oglesby, LTC James E.
Archives of Surgery , Volume 102 (6) – Jun 1, 1971
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References (7)

Publisher
American Medical Association
Copyright
Copyright © 1971 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1971.01350060071023
Publisher site
See Article on Publisher Site

Abstract

Abstract The continuous surgical experience of the 27th Surgical Hospital in Chu Lai, Vietnam, from March 1968 through February 1970 and includes 7,314 surgical admissions and 5,231 major operations. Of 624 chest injuries requiring chest tubes only 104 (16.5%) required thoracotomy, thus indicating that the majority can be handled by tube drainage. "Contused lung," in which the injury is localized and symptoms uncontrollable may be a definite indication for lobectomy. There were 1,409 laparotomies in which 1,741 organ injuries were found. The negative exploration rate was 13.5%. Of 171 vascular repairs, there were 29 failures (17%). The failure rate was highest for popliteal artery repair at 35%. This is similar to the experience of others and may reflect either inexperience or an approach that is too conservative towards initial amputation. References 1. Jones EL, Peters AF, Gasior RM: Early management of battle casualties in Vietnam . Arch Surg 97:1-15, 1968.Crossref 2. Feltis J: Surgical experience in a combat zone . Amer J Surg 119:275, 1970.Crossref 3. Tassi AA, Davies AL: Pericardial tamponade due to penetrating fragment wounds of the chest . Amer J Surg 118:535-538, 1969.Crossref 4. Williams GD: Contused lung syndrome . USARV Med Bull , 1967, pp 47-48. 5. Huller T, Bazini Y: Blast injuries of the chest and abdomen . Arch Surg 100:24-30, 1970.Crossref 6. Lindberg EF, Grinnan GLB, Smith L: Acalculous cholecystitis in Vietnam casualties . Ann Surg 171: 152-157, 1970.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Jun 1, 1971

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