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Abdominal trauma surgery during recent US combat operations from 2002 to 2016
Zsolt T Stockinger1, Caryn A Turner, Jennifer M Gurney
1From the Joint Trauma System, San Antonio Military Medical Center, Ft. Sam Houston, Texas.
The Journal of Trauma and Acute Care Surgery
|January 26, 2018
Summary
Abdominal surgeries are vital in combat medicine, with bowel procedures and laparotomy being most common. Open surgical skills remain essential for military surgeons, contrasting with civilian trends.
Area of Science:
- Military Medicine
- Surgical Procedures
- Trauma Surgery
Background:
- Abdominal surgery accounts for 13% of combat injury procedures.
- This study analyzes abdominal surgical procedures in US Military operations.
Purpose of the Study:
- To examine the frequencies and types of abdominal surgical procedures during recent US Military operations.
- To understand the role of different surgical approaches in combat settings.
Main Methods:
- Retrospective analysis of the Department of Defense Trauma Registry (January 2002-May 2016).
- Stratification of 273 International Classification of Diseases, Ninth Revision, Clinical Modification codes into 24 groups.
- Categorization by anatomy, function, and laparoscopic approach.
Main Results:
- 26,548 abdominal surgical procedures identified at Role 2 (R2) and Role 3 (R3) facilities.
- Bowel procedures were the most frequent, followed by laparotomy not otherwise specified.
- Laparoscopic procedures were rare (18 total).
Conclusions:
- Open laparotomy and bowel procedures are crucial for war surgery.
- High rates of unspecified laparotomy may indicate documentation issues or complex injury management.
- Open surgical skills remain necessary for deployed military surgeons, despite a shift towards laparoscopy elsewhere.
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