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Lessons learned from war: a comprehensive review of the published experiences of the Iranian neurosurgeons during Iraq-Iran conflict and review of the related literature

BACKGROUND: The present study was aimed to review the articles published by Iranian neurosurgeons regarding their experiences during Iraq-Iran 8-year conflict and compare it with reports from other conflicts. METHODS: The relevant papers and studies, published up to December 2011, were searched from...

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Autores principales: Rahimi-Movaghar, Vafa, Jazayeri, Seyed Behzad, Alimi, Marjan, Abbassioun, Kazem, Amirjamshidi, Abbas
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kermanshah University of Medical Sciences 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3571528/
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author Rahimi-Movaghar, Vafa
Jazayeri, Seyed Behzad
Alimi, Marjan
Abbassioun, Kazem
Amirjamshidi, Abbas
author_facet Rahimi-Movaghar, Vafa
Jazayeri, Seyed Behzad
Alimi, Marjan
Abbassioun, Kazem
Amirjamshidi, Abbas
author_sort Rahimi-Movaghar, Vafa
collection PubMed
description BACKGROUND: The present study was aimed to review the articles published by Iranian neurosurgeons regarding their experiences during Iraq-Iran 8-year conflict and compare it with reports from other conflicts. METHODS: The relevant papers and studies, published up to December 2011, were searched from three databases including MEDLINE, and two Iranian databases of Iran Medex and Scientific Information Database with the keywords Iran, Iraq, conflict, battle, war, traumatic aneurysm (TA), post-traumatic epilepsy (PTE), brain infection, penetrating head wound (PHW), cerebrospinal fluid (CSF) leakage, spine injury and peripheral nerve injury. RESULTS: A total of twenty-eight papers were found that presented PHW, development of TA, infections, PTE and peripheral nerve injuries. There were two different protocols for management of PHWs: radical surgery and minimal debridement protocol. The overall CNS infection rate was 10%. The cumulated incidence of TA was 6%. CONCLUSIONS: Conservative minimal debridement of the wounds was indicated in patients with small entrance wounds, or those with GCS greater than or equal 8 and no progressive neurological deficit. To diagnose TA before rupture angiography was performed in patients with shells or bone fragments, passed through the crowded vasculature, or with large/delayed hematoma, or if the surgeon had high index of suspicion based on neuroimaging and early debridement surgery. Surgery in a well-equipped nearby hospital after quick and safe evacuation of the victims by trained-salvaging-ancillary groups, administration of broad-spectrum antibiotics and proper antiepileptic drugs decreased the morbidity and mortality of casualties after PHW in war situations. The biases of the case selection, data collection, confounders and decreasing biases by conducting blinded controlled clinical trials were discussed. KEYWORDS: CNS infection, Iraq-Iran conflict, Penetrating head- wound, Post-traumatic- epilepsy, Peripheral nerve injury
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spelling pubmed-35715282013-03-19 Lessons learned from war: a comprehensive review of the published experiences of the Iranian neurosurgeons during Iraq-Iran conflict and review of the related literature Rahimi-Movaghar, Vafa Jazayeri, Seyed Behzad Alimi, Marjan Abbassioun, Kazem Amirjamshidi, Abbas J Inj Violence Res Oral Presentation BACKGROUND: The present study was aimed to review the articles published by Iranian neurosurgeons regarding their experiences during Iraq-Iran 8-year conflict and compare it with reports from other conflicts. METHODS: The relevant papers and studies, published up to December 2011, were searched from three databases including MEDLINE, and two Iranian databases of Iran Medex and Scientific Information Database with the keywords Iran, Iraq, conflict, battle, war, traumatic aneurysm (TA), post-traumatic epilepsy (PTE), brain infection, penetrating head wound (PHW), cerebrospinal fluid (CSF) leakage, spine injury and peripheral nerve injury. RESULTS: A total of twenty-eight papers were found that presented PHW, development of TA, infections, PTE and peripheral nerve injuries. There were two different protocols for management of PHWs: radical surgery and minimal debridement protocol. The overall CNS infection rate was 10%. The cumulated incidence of TA was 6%. CONCLUSIONS: Conservative minimal debridement of the wounds was indicated in patients with small entrance wounds, or those with GCS greater than or equal 8 and no progressive neurological deficit. To diagnose TA before rupture angiography was performed in patients with shells or bone fragments, passed through the crowded vasculature, or with large/delayed hematoma, or if the surgeon had high index of suspicion based on neuroimaging and early debridement surgery. Surgery in a well-equipped nearby hospital after quick and safe evacuation of the victims by trained-salvaging-ancillary groups, administration of broad-spectrum antibiotics and proper antiepileptic drugs decreased the morbidity and mortality of casualties after PHW in war situations. The biases of the case selection, data collection, confounders and decreasing biases by conducting blinded controlled clinical trials were discussed. KEYWORDS: CNS infection, Iraq-Iran conflict, Penetrating head- wound, Post-traumatic- epilepsy, Peripheral nerve injury Kermanshah University of Medical Sciences 2012-11 /pmc/articles/PMC3571528/ Text en Copyright © 2012, KUMS http://creativecommons.org/licenses/by/3/ This is an open-access article distributed under the terms of the Creative Commons Attribution 3.0 License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Oral Presentation
Rahimi-Movaghar, Vafa
Jazayeri, Seyed Behzad
Alimi, Marjan
Abbassioun, Kazem
Amirjamshidi, Abbas
Lessons learned from war: a comprehensive review of the published experiences of the Iranian neurosurgeons during Iraq-Iran conflict and review of the related literature
title Lessons learned from war: a comprehensive review of the published experiences of the Iranian neurosurgeons during Iraq-Iran conflict and review of the related literature
title_full Lessons learned from war: a comprehensive review of the published experiences of the Iranian neurosurgeons during Iraq-Iran conflict and review of the related literature
title_fullStr Lessons learned from war: a comprehensive review of the published experiences of the Iranian neurosurgeons during Iraq-Iran conflict and review of the related literature
title_full_unstemmed Lessons learned from war: a comprehensive review of the published experiences of the Iranian neurosurgeons during Iraq-Iran conflict and review of the related literature
title_short Lessons learned from war: a comprehensive review of the published experiences of the Iranian neurosurgeons during Iraq-Iran conflict and review of the related literature
title_sort lessons learned from war: a comprehensive review of the published experiences of the iranian neurosurgeons during iraq-iran conflict and review of the related literature
topic Oral Presentation
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3571528/
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