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[Injuries from mines].

J Pillgram-Larsen1, S Mellesmo, R Peck

  • 1Thoraxkirurgisk avdeling, Kirurgisk klinikk, Ullevål sykehus, Oslo.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|June 30, 1992
PubMed
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Mine explosion injuries in military personnel often result in severe extremity trauma and amputations. Prompt surgical intervention and evacuation are critical for survival, especially in remote conflict zones.

Area of Science:

  • Military Medicine
  • Trauma Surgery
  • Explosion Injuries

Background:

  • Norwegian military medical unit provided care in the Iraq-Kuwait demilitarized zone.
  • 157 patients injured by mine explosions were treated during a period of intense mine harvesting.

Purpose of the Study:

  • To describe the pattern of injuries and outcomes for patients injured by mines.
  • To evaluate the effectiveness of a second echelon surgical installation in a deployed military setting.

Main Methods:

  • Surgical intervention, stabilization, and evacuation to Iraqi hospitals.
  • Data collection on injury types, procedures performed, and mortality rates.

Main Results:

  • 13% of patients died primarily; 4% of those evacuated to the field hospital died.

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  • 68 patients (43%) sustained major amputations, with 7 having two extremities amputated.
  • Common injuries included crushed extremities, amputations, and penetrating eye injuries (27 patients).
  • 64 major surgical procedures were performed.

    • Conclusions:

    • Mine injuries frequently cause severe extremity trauma and amputations.
    • Long evacuation times (approx. 6 hours) limit treatment to extremity injuries.
    • The pattern of injury is consistent, emphasizing the need for specialized trauma care in mine-affected areas.