Title: Wounds Healing and Limb Saving Surgery
Author: Ahmed Alkhuzai FICMS
DOI: https://dx.doi.org/10.18535/jmscr/v5i10.33
Abstract
Background: Wounds healing during different ancient times from the history to new century, mostly the last three decades. We evaluate the criteria that dealing with wounds to prevent amputation during these different times from the history, with different methods used for the treatment that were applied for the wound happen at that period.
Aim of Study: To evaluate the wound healing from the history (B.C) before century in the previous times, plus after century with the principle criteria in dealing with the wound during that times in the war. Compare to wound care in recent centuries specially the last three decades with advance modern wound care to prevent amputation. Also, visualized patient with wound healing in principle of limb saving procedures.
Methods: This retrospective plus prospective studies were varieties of different methods and substances used for wound healing, from the history basis in scientific efficacy for wound healing treatments plus amputations rate happen at that times were used. Compared to recent centuries plan treated of these wounded patients also depend on amputations rate. In comparative study 200 patients, classified into two groups collected randomly specified dealing with the wounds during war, accidents. Group A 100 patients, old centuries were the injuries wounds treated by principles which were used at that times plus the amputation rate, Compared to Group B 100 patients, in Sulaimani Teaching Hospital from June 2006 till July 2015, were modern recent centuries used the principles that dealing with the wounds during the War, also we depend on amputation rate. We evaluate the exact principle criteria that dealing with wound healing from the history to compare to Modern recent centuries wounded care &healing, especially with advanced in technological development to see any difference, with advantages that improve wound care &healing in time factors return the patients early to the job. Also, we presented as example of injured patients to identify the limb saving procedure post wound healing.
Results: This is a retrospective plus prospective study to evaluate the outcome measurements. The old history plus post centuries period, versus the modern recent centuries wound healing criteria with advantages of limb saving principles. Both group A & Group B significant reduction in the mean LSI Limb Saving Index, plus time factors for healing improved from baseline were seen at all follow up for precenturies period group A and group B. Also, there were significant statistical differences, functional outcome with clinical improvements, plus decrease rate of amputation, complications plus decrease of morbidity / mortality ratio for groups B, were used the advance technologyplus Antiseptics, Antibiotics with new principle in ligation, instrumentation, usage of material with substance were used for complete wound healing as early as possible, compared to group A wound healing principle from history period (p value <0.0001).
Conclusions: We concluded that both group A, group B, the principle of wound healing are same. The advantages of recent technology plus usage of the material, substances, instrumentation lead to decrease rate of amputation. Also decrease rate of morbidities & mortalities were observed even with advance technology in the war with different explosive material were used in compare to previous war weapon used.
