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New Zealand Medical Services in Middle East and Italy

The Work of the Field Surgical Unit

The Work of the Field Surgical Unit

The unit, under Major D. P. O'Brien, was attached to the active MDS during September and up till 18 October, and again for the last four days of November. For the rest of the time it was attached to 1 NZ CCS. During the whole period 230 operations were performed as follows:

Operations Performed Deaths
Oct Nov Dec Total Oct Nov Dec Total
Abdominal 5 14 19 1 3 4
Abdomen and thoracic 1 1 2
Chests 4 4 8
Heads
Major amputations 1 4 5
Fractures long bones 31 3 35 69 1 1
Ligation major blood vessels 1 1 2
Major joints 2 8 10
Gas gangrene 1 6 7 2 2
Wounds, severe 7 18 25
Burns 1 1 1 3
Secondary suture wounds 1 1 2
Minor operations 46 10 22 78
—— —— —— —— —— —— —— ——
100 16 114 230 2 5 7

Notes

(a)

Abdomens and chests: All operations on these cases were performed when attached to NZ CCS.

(b)

With the oncoming winter an increase in the number of chest complications was noted in the heavier cases such as abdomens. For the same reason, chests were now being held longer prior to evacuation.

Analysis of Deaths Prior to Evacuation
Time Cause Oct Nov Dec Total
24 hours Shock 1 1
24 hours Blast 1 1
24 hours Gas gangrene 2 2
24 hours Pulmonary oedema 1 1
10 days Anuria 1 1
20 days Peritonitis 1 1
—— —— —— ——
2 5 7