Extremity amputation: how to face challenging problems in a precarious environment.

International Orthopaedics
Sylvain Rigal

Abstract

Indications for amputation in natural disasters are not the same compared to our daily practice. They must be determined by those with great surgical experience and good knowledge of military or disaster surgical doctrine. Unfortunately, nowadays few surgeons have this experience. In fact, some volunteer surgeons may be interested in providing care for civilian victims of war or disaster in developing countries. However, there are significant differences between the type and the management of cases seen in this context versus those seen at home. The problems of amputations cannot be solved schematically. Amputation will depend on several factors: the form of warfare or disaster, the conditions for surgery, the skill of the surgical team and the experience of the surgeon, and the length or duration of the mission. Here is a schematic showing the three main situations: civilian practice, war practice and disaster context. These three different situations require different strategies for treating the wounded and for making amputation decisions. In the case of a natural disaster, there are many wounded civilians, they arrive at the medical facility late and there is usually only one surgeon and a single, limited medical facility to...Continue Reading

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Citations

May 4, 2012·International Orthopaedics·Maurice Hinsenkamp
Aug 1, 2012·International Orthopaedics·Maurice Hinsenkamp
Sep 4, 2012·International Orthopaedics·Njoku Isaac Omoke, Chinedu Gregory Nwigwe
Dec 13, 2012·International Orthopaedics·Savas GunerRecep Dursun
Jul 5, 2013·International Orthopaedics·Maurice Hinsenkamp
Jul 12, 2013·International Orthopaedics·Syed Awais, Ayesha Saeed
Jun 1, 2014·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·L MathieuN Shirzai
May 7, 2014·Chirurgie de la main·L MathieuS Rigal
Jun 27, 2014·International Orthopaedics·Maurice Hinsenkamp
Sep 2, 2014·International Orthopaedics·Olivier BarbierSylvain Rigal
Jul 23, 2015·International Orthopaedics·Yao Messanvi AkpotoAssang Dossim
Jul 18, 2015·International Orthopaedics·Maurice Hinsenkamp
Mar 23, 2017·The Journal of Trauma and Acute Care Surgery·Olivier BarbierGilbert Versier
Apr 12, 2019·International Orthopaedics·Antoine GrossetSylvain Rigal
Nov 12, 2018·Journal of the Royal Army Medical Corps·Zhao YongqiangW Kunping
Nov 16, 2018·Journal of the Royal Army Medical Corps·Dawei ZhangB Li
May 11, 2021·Annales de chirurgie plastique et esthétique·P KnipperM Tchaparian
May 15, 2021·Journal of the American Academy of Orthopaedic Surgeons. Global Research & Reviews·S Craig MorrisLee M Zuckerman

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