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Appendix F

Contents

APPENDIX F

Detailed Observations on Wound Groups

The tables (1 through 15) in this section are largely self-explanatory.1 Primary operations, subsidiary operations, operating time, secondary operations, and anesthesia for primary surgery are presented in the order named (tables 1, 2, 3, 4, and 5). The recorded information relative to oxygen therapy is presented in table 6. There was no record of oxygen therapy in 886 of the 1,450 deaths. It is most probable that oxygen was given at times without making an entry on the patient's record. It is known, however, that oxygen therapy was indicated at times when it was not given. The cases listed in the column devoted to oxygen therapy during operation are, with few exceptions, those to which oxygen was administered as a part of the anesthetic mixture.

Chemotherapy, plasma and blood therapy, recorded blood pressure, evidence of shock, urinary output, and other miscellaneous observations as related to the principal wound are shown in tables 7 through 13.

Table 14 shows that 945 of the deaths studied occurred in evacuation hospitals and 505 in field hospitals. In the group of 65 cases that were seen in a field hospital and transferred to an evacuation hospital for surgery, those with intracranial wounds (32 cases) head the list. The policy of transferring nearly all with intracranial wounds to an evacuation hospital for surgery accounts for this figure, and it is fair to assume that few if any of these would have survived had they been held in the field hospitals. The same is not true of the 10

TABLE l.-Primary operations as related to principal wounds

Principal wound

Ampu-
tation

Crani-
otomy

Debride-
ment only

Laminec-
tomy

Laparo-
tomy

Thoraco-
laparotomy

Thora-
cotomy

Abdominal stab incision without laparotomy

Others

Total primary operations

Intracranial

3

101

20

---

5

---

---

---

2

131

Intravertebral

---

---

5

12

---

---

---

---

---

17

Maxillofacial

---

---

5

---

---

---

---

---

2

7

Cervical

---

1

11

---

---

---

---

---

6

18

Intrathoracic

2

1

40

4

2

---

33

---

1

83

Thoracoabdominal

5

---

6

---

100

12

109

18

---

250

Combined intra-
abdominal and intrathoracic

8

---

1

1

42

---

7

---

1

60

Intra-abdominal

11

---

5

3

327

1

---

---

---

347

Abdominal wall only

---

---

1

---

2

---

---

---

---

3

Upper extremity:

 

 

 

 

 

 

 

 

 

 

Soft tissue only

---

---

---

---

---

---

---

---

---

---

Bone and soft tissue

2

---

5

---

---

---

---

---

---

7

Lower extremity:

 

 

 

 

 

 

 

 

 

 

Soft tissue only

5

---

16

---

2

---

---

---

---

23

Bone and soft tissue

40

---

36

---

1

---

---

---

1

78

Unclassified multiple

8

5

25

3

8

1

2

1

2

55

Total

84

108

176

23

489

14

151

19

15

1,079


1General observations on wound groups in the 1,450 Fifth U.S. Army hospital battle casualty deaths have been presented in chapter VII (p. 485).


814

TABLE 2.-Subsidiary operations performed at the time of the primary operation as related to principal wounds


815

cases with unclassified multiple wounds and the 8 cases with intrathoracic wounds in this group. Many of these might have survived had they been held for surgery in the field hospital. These two principal wound groups are the ones in which the transportability of the battle casualty is apt to be overestimated.

Table 15 on post mortem examinations shows that there were 675 cases in which there was no record of autopsy. It is known that a number of autopsies were done that were not reported. However, many more should have been done, and in many instances would have been done, had the pressure of work with living battle casualties not been so great. It was demonstrated time and again that every surgeon should do or witness the post mortem examination on all of his patients that die. His judgment and ability in the problems of war surgery, particularly, develop much more rapidly and to a far greater degree when this is done routinely. Microscopic examinations of tissues from all the important organs is likewise most valuable. Excellent reports from the 2d Medical Laboratory and the 15th General Medical Laboratory constitute a part of the record of many of the deaths studied. The high incidence of fat embolism was not appreciated until Colonel Mallory advised of its incidence in the microscopic sections of tissues from battle casualty deaths. Microscopic examination of tissues in those dying with pigment nephropathies has been quite valuable. Gross and microscopic autopsy studies should be required on all battle casualty deaths. Their educational byproducts contribute to the effectiveness of an army.

TABLE 3.-Operating time (in minutes) for primary surgery as related to principal wounds

Principal wound

Less than 30

30-59

60-89

90-119

120-149

150-179

180-209

210-239

240-299

300-360

More than 360

No record

Intracranial

2

3

8

7

8

5

5

---

1

1

2

87

Intravertebral

1

---

---

---

2

---

---

---

---

---

---

15

Maxillofacial

---

---

---

---

1

1

1

---

---

---

---

4

Cervical

1

---

---

1

1

---

---

---

2

---

---

13

Intrathoracic

---

4

2

2

4

3

---

1

---

1

1

63

Thoracoabdominal

1

2

8

6

11

8

5

4

3

5

1

131

Combined intra-
abdominal and intrathoracic

---

---

1

---

1

2

4

1

1

1

---

36

Intra-abdominal

4

4

6

9

16

17

19

8

6

1

---

247

Abdominal wall only

---

---

---

---

---

---

---

---

---

---

---

3

Upper extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

---

---

---

---

---

---

---

---

---

---

---

---

 

Bone and soft tissue

---

---

---

1

---

---

---

---

---

---

---

6

Lower extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

---

1

---

3

---

---

---

---

---

---

---

18

Bone and soft tissue

---

4

6

3

2

2

2

---

---

---

---

59

Unclassified multiple

2

1

2

4

2

3

1

---

---

2

---

35

Total

11

19

33

36

48

41

37

14

13

11

4

717


816

TABLE 4.-Secondary (later) operations as related to principal wounds

 


817

TABLE 5.-Anesthesia for primary surgery as related to principal wounds

Principal wound

Ether, closed system

Ether, Flagg method

Ether, open drop

Ether, unclas-
sified

Endotra-
cheal

Nitrous oxide

Local

No record or none

Other agent1

Thio-
pental sodium

Regional

Spinal

Intracranial

16

1

5

24

31

8

42

31

---

33

1

---

Intravertebral

2

---

---

5

4

2

5

5

---

---

---

---

Maxillofacial

2

---

1

---

2

2

1

3

---

1

---

---

Cervical

6

---

1

---

2

5

3

7

---

3

---

---

Intrathoracic

31

---

1

20

33

22

9

18

1

11

---

---

Thoraco-
abdominal

89

1

5

55

100

77

3

35

---

3

---

---

Combined intra-
abdominal and intrathoracic

23

---

1

19

22

20

1

4

1

3

---

---

Intra-
abdominal

119

2

25

107

112

96

---

96

1

8

---

---

Abdominal wall only

---

---

---

2

1

---

---

1

---

1

---

1

Upper extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

---

---

---

---

---

---

---

---

---

---

---

---

Bone and soft tissue

1

---

---

1

2

1

---

2

---

3

---

---

Lower extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

4

---

5

4

---

4

---

3

---

7

---

1

Bone and soft tissue

20

---

1

18

6

16

---

23

---

9

---

1

Unclassified multiple

11

---

---

22

16

9

3

14

---

8

---

---

Total

324

4

45

277

331

262

67

242

3

90

1

3


1Including ethyl chloride used for induction.


818

TABLE 6.-Oxygen therapy as related to principal wound

Principal wound

Oxygen before operation

Oxygen during operation

Oxygen after operation

No record of oxygen

Intracranial

25

21

20

240

Intravertebral

4

2

3

18

Maxillofacial

---

2

---

6

Cervical

8

8

2

13

Intrathoracic

22

35

24

74

Thoracoabdominal

18

99

39

90

Combined intra-abdominal and intrathoracic

12

24

9

24

Intra-abdominal

26

131

63

227

Abdominal wall only

---

1

1

1

Upper extremity:

 

 

 

 

Soft tissue only

1

---

---

3

Bone and soft tissue

---

1

1

9

Lower extremity:

 

 

 

 

Soft tissue only

1

5

7

21

Bone and soft tissue

6

21

21

72

Unclassified multiple

13

13

4

88

Total

136

363

194

886


TABLE 7.-Chemotherapy (bacteriostatic drugs1 and soda) as related to principal wound

Principal wound

Penicillin alone

Sulfonamide alone

Penicillin and sulfonamide

Soda2 given

No soda reported

No record of chemotherapy

Intracranial

50

37

23

17

48

187

Intravertebral

8

4

4

2

8

11

Maxillofacial

2

1

---

---

1

5

Cervical

5

3

1

---

4

16

Intrathoracic

12

21

19

3

38

86

Thoracoabdominal

37

58

30

7

85

87

Combined intra-abdominal intrathoracic

13

15

5

4

19

26

Intra-abdominal

47

127

71

10

191

163

Abdominal wall only

---

1

---

---

1

2

Upper extremity:

 

 

 

 

 

 

Soft tissue only

1

---

---

1

---

3

Bone and soft tissue

1

5

---

1

4

4

Lower extremity:

 

 

 

 

 

 

Soft tissue only

4

13

3

4

14

11

Bone and soft tissue

12

35

14

7

45

53

Unclassified multiple

13

15

9

3

23

77

Total

205

335

179

59

481

731


1Excluding sulfanilamide applied to wounds at time of first aid dressing.
2Including 26 cases in which soda was given without a sulfonamide as an adjuvant to blood transfusion therapy.


819-820

TABLE 8.-Intravenous plasma therapy as related to principal wound

Principal wound

Units of plasma (one unit is 250 cc.)

10

1

2

3

4

5

6

7

8

9

10

11 or more

 

Before admission to hospital

Intracranial

161

55

40

19

14

2

3

2

1

---

---

---

Intravertebral

10

7

4

4

1

---

---

---

---

1

---

---

Maxillofacial

5

1

2

---

---

---

---

---

---

---

---

---

Cervical

13

3

4

2

1

1

---

---

1

---

---

---

Intrathoracic

57

12

34

13

9

3

6

3

---

1

---

---

Thoracoabdominal

65

32

40

34

25

8

3

2

2

1

---

---

Combined intra-abdominal and intrathoracic

19

11

10

8

5

3

2

---

---

---

---

21

Intra-abdominal

148

43

96

40

34

21

15

5

3

1

1

31

Abdominal wall only

3

---

---

---

---

---

---

---

---

---

---

---

Upper extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

4

---

---

---

---

---

---

---

---

---

---

---

Bone and soft tissue

4

1

---

1

1

2

---

---

---

---

---

41

Lower extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

18

2

5

3

1

---

1

---

1

---

---

---

Bone and soft tissue

36

13

21

16

12

4

4

4

2

1

1

---

Unclassified, multiple

57

19

15

14

3

2

1

---

3

---

---

---

Total cases

600

199

271

154

106

46

35

16

13

5

2

3

 

After admission to hospital, before surgery

Intracranial

185

24

43

15

11

8

5

1

1

1

1

52

Intravertebral

11

3

8

---

1

1

2

---

---

---

---

61

Maxillofacial

5

---

1

1

---

---

---

1

---

---

---

---

Cervical

20

3

---

2

---

---

---

---

---

---

---

---

Intrathoracic

83

13

16

13

7

4

---

1

---

---

1

---

Thoracoabdominal

138

23

26

13

3

4

1

---

1

1

1

---

Combined intra-abdominal and intrathoracic

34

6

8

3

4

1

3

---

---

---

---

---

Intra-abdominal

248

27

61

33

20

5

6

2

2

2

---

72

Abdominal wall only

2

---

---

1

---

---

---

---

---

---

---

---

Upper extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

2

1

---

---

---

---

---

1

---

---

---

---

Bone and soft tissue

7

1

---

---

---

---

1

---

---

1

---

---

Lower extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

20

4

3

1

3

---

---

---

---

---

---

---

Bone and soft tissue

58

14

11

6

6

6

4

2

3

1

1

82

Unclassified, multiple

58

15

18

5

4

5

4

---

1

---

1

94

Total cases

871

134

195

93

59

34

26

8

8

6

5

11

 

During surgery

Intracranial

280

8

6

1

1

1

---

---

---

---

---

---

Intravertebral

26

---

---

1

---

---

---

---

---

---

---

---

Maxillofacial

8

1

---

---

---

---

---

---

---

---

---

---

Cervical

22

--

1

---

1

---

1

---

---

---

---

---

Intrathoracic

133

3

1

---

1

---

---

---

---

---

---

---

Thoracoabdominal

193

4

10

---

1

1

1

1

1

---

---

---

Combined intra-abdominal and intrathoracic

48

4

2

2

---

1

1

---

---

---

1

---

Intra-abdominal

356

8

19

10

6

2

1

---

2

1

1

1

Abdominal wall only

3

---

---

---

---

---

---

---

---

---

---

---

Upper extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

4

---

---

---

---

---

---

---

---

---

---

---

Bone and soft tissue

10

---

---

---

---

---

---

---

---

---

---

---

Lower extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

22

2

1

2

4

---

---

---

---

---

---

---

Bone and soft tissue

96

3

12

2

1

---

---

---

---

1

---

---

Unclassified, multiple

108

4

2

---

---

---

---

---

---

---

---

1

Total cases

1,309

37

54

16

15

5

4

1

3

2

2

2

 

After surgery

Intracranial

275

7

6

---

1

---

2

1

3

1

---

---

Intravertebral

25

1

1

---

---

---

---

---

---

---

---

---

Maxillofacial

7

---

1

---

---

---

---

---

---

---

---

---

Cervical

23

2

---

---

---

---

---

---

---

---

---

---

Intrathoracic

127

3

6

---

1

---

---

---

1

---

---

---

Thoracoabdominal

183

11

7

2

3

1

3

---

1

---

1

---

Combined intra-abdominal and intrathoracic

46

3

4

2

1

---

2

1

---

---

---

---

Intra-abdominal

331

16

24

12

12

4

6

---

---

---

---

31

Abdominal wall only

2

---

---

1

---

---

---

---

---

---

---

---

Upper extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

4

---

---

---

---

---

---

---

---

---

---

---

Bone and soft tissue

9

---

1

---

---

---

---

---

---

---

---

---

Lower extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

23

5

2

---

---

---

1

---

---

---

---

---

Bone and soft tissue

93

2

7

4

3

1

1

1

1

1

---

---

Unclassified, multiple

103

3

6

---

1

---

---

1

1

---

2

---

Total cases

1,251

53

65

21

22

6

15

4

7

2

3

1


1No record of plasma administration, or none given.
212 units.
314 units.
411 units.
511 units, 17 units.
618 units.
713 units.
812 units, 17 units.
913 units, 14 units, 29 units (given over period of 4 days-abdominal wound, severed popliteal artery, multiple fractures, and clostridial myositis).


821-822

TABLE 9.-Blood transfusion therapy as related to principal wound

Principal wound

Units of blood (one unit is 500 cc.)

10

1

2

3

4

5

6

7

8

9

10

11 or more

 

Before surgery

Intracranial

211

37

27

9

6

2

3

1

1

---

---

---

Intravertebral

14

4

5

2

1

1

---

---

---

---

---

---

Maxillofacial

5

1

1

1

---

---

---

---

---

---

---

---

Cervical

12

4

3

4

1

---

---

---

---

---

1

---

Intrathoracic

66

29

18

8

9

6

1

---

1

---

---

---

Thoracoabdominal

78

33

39

23

18

6

8

3

1

3

---

---

Combined intra-abdominal and intrathoracic

25

9

9

6

5

1

2

---

---

1

1

---

Intra-abdominal

165

56

65

45

41

14

11

5

2

1

3

---

Abdominal wall only

2

1

---

---

---

---

---

---

---

---

---

---

Upper extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

3

---

---

1

---

---

---

---

---

---

---

---

Bone and soft tissue

7

1

1

---

1

---

---

---

---

---

---

---

Lower extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

22

1

2

3

2

1

---

---

---

---

---

---

Bone and soft tissue

53

16

16

7

10

7

2

2

1

---

---

---

Unclassified, multiple

44

27

15

12

9

3

2

---

1

---

---

1

Total cases

707

219

201

121

103

41

29

11

7

5

5

1

 

During surgery

Intracranial

243

20

21

8

2

---

2

---

1

---

---

---

Intravertebral

21

2

1

2

---

1

---

---

---

---

---

---

Maxillofacial

8

---

---

---

---

---

---

---

---

---

---

---

Cervical

21

1

2

---

---

---

---

---

1

---

---

---

Intrathoracic

117

9

7

1

3

---

1

---

---

---

---

---

Thoracoabdominal

132

15

34

16

5

3

6

---

1

---

---

---

Combined intra-abdominal and intrathoracic

34

8

6

5

2

2

1

1

---

---

---

---

Intra-abdominal

257

30

53

29

18

6

5

3

1

4

1

1

Abdominal wall only

3

---

---

---

---

---

---

---

---

---

---

---

Upper extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

4

---

---

---

---

---

---

---

---

---

---

---

Bone and soft tissue

10

---

---

---

---

---

---

---

---

---

---

---

Lower extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

19

4

3

4

1

---

---

---

---

---

---

---

Bone and soft tissue

72

6

22

6

1

2

3

1

---

---

1

---

Unclassified, multiple

96

8

5

---

1

2

---

2

---

---

---

---

Total cases

1,037

103

154

71

33

16

18

7

4

4

2

1

 

After surgery

Intracranial

267

11

10

2

4

1

1

---

1

---

---

---

Intravertebral

23

2

2

---

---

---

---

---

---

---

---

---

Maxillofacial

6

1

1

---

---

---

---

---

---

---

---

---

Cervical

20

4

---

1

---

---

---

---

---

---

---

---

Intrathoracic

112

13

5

4

3

1

---

---

---

---

---

---

Thoracoabdominal

159

26

14

2

2

4

1

---

2

2

---

---

Combined intra-abdominal and intrathoracic

43

5

7

1

3

---

---

---

---

---

---

---

Intra-abdominal

287

48

30

13

10

9

4

1

2

2

1

21

Abdominal wall only

3

---

---

---

---

---

---

---

---

---

---

---

Upper extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

4

---

---

---

---

---

---

---

---

---

---

---

Bone and soft tissue

9

---

1

---

---

---

---

---

---

---

---

---

Lower extremity:

 

 

 

 

 

 

 

 

 

 

 

 

Soft tissue only

23

3

2

---

3

---

---

---

---

---

---

---

Bone and soft tissue

80

11

4

5

3

5

2

2

1

---

1

---

Unclassified, multiple

93

10

7

2

2

---

---

---

---

---

---

---

Total cases

1,129

134

83

30

30

20

8

3

6

4

2

1

1No record of intravenous administration of blood, or none given.
212 units.

TABLE 10.-Lowest recorded systolic blood pressure1 for cases in shock as related to principal wound

Principal wound

Arterial tension in mm. Hg

Zero

2-38

40-58

60-78

80-88

90-98

Intracranial

16

---

5

18

10

10

Intravertebral

3

---

3

1

2

5

Maxillofacial

---

---

1

---

---

---

Cervical

4

---

2

---

1

3

Intrathoracic

13

---

2

7

10

9

Thoracoabdominal

18

1

10

23

12

5

Combined intra-abdominal and intrathoracic

11

---

5

4

6

1

Intra-abdominal

58

3

19

21

18

16

Abdominal wall only

---

---

---

---

---

---

Upper extremity:

 

 

 

 

 

 

Soft tissue only

2

---

1

---

---

---

Bone and soft tissue

3

---

---

---

---

---

Lower extremity:

 

 

 

 

 

 

Soft tissue only

3

1

---

2

1

1

Bone and soft tissue

14

1

4

12

3

3

Unclassified, multiple

13

---

5

9

6

5

Total cases

158

6

57

97

69

58


1Excluding a gradual terminal decline immediately preceding death.


823

TABLE 11.-Nature of evidence for shock in cases without recorded hypotension as related to principal wound

Principal wound

Blood pressure 100 or more, but pulse rapid and weak1

Blood pressure 100 or more, but shock recorded

Presence of shock recorded

Shock suspected by inference

Therapy suggests shock

No evidence of shock

Intracranial

10

---

30

13

63

122

Intravertebral

---

---

3

---

4

6

Maxillofacial

---

---

---

1

4

2

Cervical

1

---

3

1

5

5

Intrathoracic

3

---

23

24

40

7

Thoracoabdominal

5

---

44

17

72

5

Combined intra-abdominal and intrathoracic

---

---

10

1

19

2

Intra-abdominal

8

2

93

45

119

6

Abdominal wall only

---

---

---

---

---

3

Upper extremity:

 

 

 

 

 

 

Soft tissue only

---

---

---

1

---

---

Bone and soft tissue

---

---

---

---

4

3

Lower extremity:

 

 

 

 

 

 

Soft tissue only

---

---

10

3

4

6

Bone and soft tissue

1

---

26

11

34

5

Unclassified, multiple

1

---

31

17

20

7

Total

29

2

273

134

388

179


1No comment on shock in the case reports.

TABLE 12.-Urinary output as related to principal wound

Principal wound

Output adequate

Apparently adequate but record incomplete

Anuria1

Oliguria2 recorded

Oliguria suspected

No record

Intracranial

3

9

2

3

2

278

Intravertebral

---

3

---

1

2

21

Maxillofacial

---

---

---

---

---

8

Cervical

2

1

---

1

---

21

Intrathoracic

5

2

1

2

---

128

Thoracoabdominal

7

6

5

14

7

173

Combined intra-abdominal and intrathoracic

2

---

---

7

---

50

Intra-abdominal

12

7

13

32

11

333

Abdominal wall only

---

---

---

---

---

3

Upper extremity:

 

 

 

 

 

 

Soft tissue only

---

---

---

1

---

3

Bone and soft tissue

1

---

---

---

---

9

Lower extremity:

 

 

 

 

 

 

Soft tissue only

1

1

1

3

1

24

Bone and soft tissue

3

3

---

9

---

99

Unclassified, multiple

1

1

---

4

2

106

Total cases

37

33

22

77

25

1,256


1Less than 100 cc. per diem.
2100 to 800 cc. per diem.


824

TABLE 13.-Miscellaneous observations as related to principal wound

Principal wound

Burns present

Coma on admission

Exposure, severe, before admission

Hemorrhage, profuse, after admission

Peritoneal closure impossible

Tourniquet used before admission

Intracranial

4

167

4

15

---

1

Intravertebral

---

1

---

---

---

---

Maxillofacial

1

1

---

---

---

---

Cervical

---

4

---

5

---

1

Intrathoracic

3

9

1

---

---

1

Thoracoabdominal

1

2

---

3

4

1

Combined intra-abdominal and intrathoracic

---

3

---

1

1

1

Intra-abdominal

3

8

2

29

3

7

Abdominal wall only

---

---

---

---

---

---

Upper extremity:

 

 

 

 

 

 

Soft tissue only

---

1

---

---

---

---

Bone and soft tissue

---

1

---

---

---

3

Lower extremity:

 

 

 

 

 

 

Soft tissue only

1

1

1

1

---

3

Bone and soft tissue

4

4

1

3

---

19

Unclassified, multiple

11

16

1

1

---

5

Total cases

28

218

10

58

8

42


TABLE 14.-Data relative to distribution of deaths in field and evacuation hospitals

Principal wound

Field hospital

Evacuation hospital1

Transfer2

Transfer3

Intracranial

25

272

4

32

Intravertebral

2

25

---

5

Maxillofacial

---

8

---

1

Cervical

9

16

---

1

Intrathoracic

54

84

3

8

Thoracoabdominal

113

99

7

2

Combined intra-abdominal and intrathoracic

29

30

1

---

Intra-abdominal

215

193

7

3

Abdominal wall only

1

2

1

---

Upper extremity:

 

 

 

 

Soft tissue only

1

3

---

---

Bone and soft tissue

2

8

1

1

Lower extremity:

 

 

 

 

Soft tissue only

5

26

2

---

Bone and soft tissue

32

82

2

2

Unclassified, multiple

17

97

2

10

Total cases

505

945

30

65


1Including figures in last two columns.
2Primary surgery done in field hospital, and patient died in evacuation hospital after transfer.
3Patient seen in field hospital and transferred to evacuation hospital for primary surgery.


825

TABLE 15.-Post mortem examinations as related to principal wound

Principal wound

No autopsy done

Gross reported, not no microscopic

Gross reported, microscopic not reported

Gross and microscopic reported

Intracranial

141

48

10

98

Intravertebral

13

1

1

12

Maxillofacial

2

3

---

3

Cervical

8

9

1

7

Intrathoracic

69

34

2

33

Thoracoabdominal

79

76

13

44

Combined intra-abdominal and intrathoracic

15

22

1

21

Intra-abdominal

193

130

14

71

Abdominal wall only

2

---

---

1

Upper extremity:

 

 

 

 

Soft tissue only

3

1

---

---

Bone and soft tissue

6

2

---

2

Lower extremity:

 

 

 

 

Soft tissue only

11

5

5

10

Bone and soft tissue

60

20

10

24

Unclassified, multiple

73

14

4

23

Total  cases

675

365

61

349


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