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The principles of complete excision of non-viable tissue with removal of foreign material, leaving the wound open, and delayed primary closure of skin are vitally important. A major part of the surgical approach is wound assessment and the formation of an operative plan. The extent and ease of the operation depends on the site, age and type of wound. Attention to the technique of wound excision avoids septic complications and permits skin closure when the first dressing is removed. Wounds may need re-excision at a later date. Modification of surgical management is necessary when certain difficult areas are wounded and when the patient presents after many days or has suffered inappropriate first aid.<\/jats:p>","DOI":"10.1002\/bjs.1800760704","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T13:21:14Z","timestamp":1172928074000},"page":"663-667","source":"Crossref","is-referenced-by-count":73,"title":["Technical aspects of war wound excision"],"prefix":"10.1093","volume":"76","author":[{"given":"R M","family":"Coupland","sequence":"first","affiliation":[{"name":"The British Red Cross Society , 9 Grosvenor Crescent, London SW1X 7EJ,","place":["UK"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1989,7,1]]},"reference":[{"key":"2024092807294217800_bib1","volume-title":"Field Surgery Pocket Book","author":"Kirby","year":"1983"},{"key":"2024092807294217800_bib2","first-page":"204","volume-title":"Current Surgical Practice, Vol. 2","author":"Owen-Smith","year":"1978"},{"key":"2024092807294217800_bib3","volume-title":"War Surgery: An Introduction","author":"Gray","year":"1988"},{"key":"2024092807294217800_bib4","first-page":"187","article-title":"Experiences of a British Red Cross surgical team on the Afghanistan border","volume":"3","author":"Howell","year":"1988","journal-title":"Todays Anaesthetist"},{"key":"2024092807294217800_bib5","doi-asserted-by":"crossref","first-page":"96","DOI":"10.1016\/0020-1383(87)90181-1","article-title":"Medical statistics of battlefield casualties","volume":"18","author":"Trouwburst","year":"1987","journal-title":"Injury"},{"key":"2024092807294217800_bib6","doi-asserted-by":"crossref","first-page":"259","DOI":"10.1016\/0020-1383(88)90041-1","article-title":"An experience of war surgery and wounds presenting after 3 days on the border of Afghanistan","volume":"19","author":"Coupland","year":"1988","journal-title":"Injury"},{"key":"2024092807294217800_bib7","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1136\/bmj.1.5959.667","article-title":"Surgery of violence. 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Gunshot wounds of the limbs","volume":"1","author":"Livingstone","year":"1975","journal-title":"Br Med J"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800760704","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/76\/7\/663\/59388683\/bjs1800760704.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/76\/7\/663\/59388683\/bjs1800760704.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T07:30:28Z","timestamp":1727508628000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/76\/7\/663\/6172202"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,7,1]]},"references-count":7,"journal-issue":{"issue":"7","published-online":{"date-parts":[[1989,7,1]]},"published-print":{"date-parts":[[1989,7,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800760704","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1989,7]]},"published":{"date-parts":[[1989,7,1]]}}}