Journal of Vascular and Endovascular Therapy

Delayed Primary Closure of the War Wound Versus Primary Closure

War wound is considered as a dirty wound and is liable to get infected and risk the trauma patient life if not properly managed.

Along years of my practice in the field of war trauma surgery since 1994, I have met lots of war wounded patient suffering from infected wound or even prolonged wound infection e.g., soft tissue infection and bone infection.

Wound debridement alone is not enough, at the beginning of my experience with war wound, many cases got infection in spite of wound debridement before primary closure of the wound. After getting in contact with international committee of red cross in 1996, I started to follow the ICRC guidelines of war wound management which is composed of many steps in logical order for the method of proper wound debridement followed by delayed primary closure of the wound instead of primary closure.

Using ICRC method of war wound management and delayed primary closure, I have never suffered a case of wound infection, unless the debridement was not done properly.

Author(s):

Mohammed Elgazzar

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