Indian Journal of Plastic Surgery
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Year : 2012  |  Volume : 45  |  Issue : 2  |  Page : 332--339

Reconstructive challenges in war wounds


1 Department of Plastic Surgery, Army Hospital (R and R), New Delhi, India
2 Department of Plastic Surgery, Command Hospital, Chandimandir Cantt, Haryana, India

Correspondence Address:
Sanjay Maurya
Department of Plastic Surgery, Command Hospital, Chandi Mandir Cantt, Haryana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-0358.101316

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War wounds are devastating with extensive soft tissue and osseous destruction and heavy contamination. War casualties generally reach the reconstructive surgery centre after a delayed period due to additional injuries to the vital organs. This delay in their transfer to a tertiary care centre is responsible for progressive deterioration in wound conditions. In the prevailing circumstances, a majority of war wounds undergo delayed reconstruction, after a series of debridements. In the recent military conflicts, hydrosurgery jet debridement and negative pressure wound therapy have been successfully used in the preparation of war wounds. In war injuries, due to a heavy casualty load, a faster and reliable method of reconstruction is aimed at. Pedicle flaps in extremities provide rapid and reliable cover in extremity wounds. Large complex defects can be reconstructed using microvascular free flaps in a single stage. This article highlights the peculiarities and the challenges encountered in the reconstruction of these ghastly wounds.






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