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Contemporary Management of Urogenital Injuries

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Reconstructing the War Injured Patient

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Abstract

During the last decade, the conflicts in the Middle East have changed the face of the traditional war. This is evident from the following observations: the adoption of the whole enemy’s society as a battlefield, the indiscernibility between war and peace, the indistinction between military and civilian, and blitzing of the civilian facilities [53].

The unprecedented heavy use of ground-implanted improvised explosive devices (IEDs) has resulted in the frequent occurrence of a devastating combination of the lower extremity, pelvic, urogenital, and abdominal injuries. On the other hand, the improvements in the acute surgical practice have resulted in unparalleled survivability of the victims. This group of patients represents a new challenge to the health care system in our area. The challenge is attributed to the following factors: the heterogeneity of injury pattern, treatment, outcome, delay in presentation to tertiary centers, limited resources, and the absence of referral body.

There is scarce data on the management of the genitourinary war injuries in the modern literature. We will highlight certain aspects of the acute management of the genitourinary war injuries. We will dwell on the management of the genitourinary injuries who were mismanaged or untreated at the acute phase.

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Authors and Affiliations

  1. Urology Resident, Department of Surgery, American University of Beirut Medical Center, Riad El Solh, 1107, Beirut, Lebanon

    Mohammed Shahait M.B.B.S.

  2. Department of Surgery/Urology, American University of Beirut Medical Center, Riad El Solh, Beirut, 110236, Lebanon

    Rami Wajih Nasr M.D., F.A.C.S. (Assistant Professor of Clinical Surgery)

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  1. Mohammed Shahait M.B.B.S.
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  2. Rami Wajih Nasr M.D., F.A.C.S.
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Correspondence to Rami Wajih Nasr M.D., F.A.C.S. .

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Editors and Affiliations

  1. Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Center, Beirut, Lebanon

    Ghassan Soleiman Abu-Sittah

  2. Department of Surgery, American University of Beirut Medical Center, Beirut, Lebanon

    Jamal J. Hoballah

  3. Division of Plastic and Reconstructive Surgery, American University of Beirut Medical Centre-Faculty of Medicine, Beirut, Lebanon

    Joseph Bakhach

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Shahait, M., Nasr, R.W. (2017). Contemporary Management of Urogenital Injuries. In: Abu-Sittah, G., Hoballah, J., Bakhach, J. (eds) Reconstructing the War Injured Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-56887-4_13

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  • DOI: https://doi.org/10.1007/978-3-319-56887-4_13

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-56887-4

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