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Anti-personnel Landmine Injuries during Peace: Experience in a European Country

Published online by Cambridge University Press:  28 June 2012

Stamatios A. Papadakis ,
Eleni C. Babourda ,
Thomas C. Mitsitskas ,
Sotirios Markakidis ,
Costas Bachtis ,
Dimitrios Koukouvis  and
Apostolos A. Tentes
Stamatios A. Papadakis*
Affiliation:
Orthopedic Department, General Hospital of Didimoticho, Greece
Eleni C. Babourda
Affiliation:
Orthopedic Department, General Hospital of Didimoticho, Greece
Thomas C. Mitsitskas
Affiliation:
Orthopedic Department, General Hospital of Didimoticho, Greece
Sotirios Markakidis
Affiliation:
Surgery Department, General Hospital of Didimoticho, Greece
Costas Bachtis
Affiliation:
National System for Emergency Care, Athens, Greece
Dimitrios Koukouvis
Affiliation:
496 Military Hospital, Didimoticho, Greece
Apostolos A. Tentes
Affiliation:
Surgery Department, General Hospital of Didimoticho, Greece
*
Stamatios A. Papadakis, MD, PhD 28th Octovriou Str, 54 15236 N. Pendeli, Greece E-mail: snapmd@in.gr
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Abstract

Introduction:

The purpose of this study is to report the incidence of landmine injuries during peacetime in a European country.

Methods:

Forty victims of landmine explosions were admitted to Didimoticho General Hospital in Greece, from December 1988 to March 2003. A total of 19 people survived (47.5%) these events; all of the others were dead upon admission to the hospital. All of the victims were men, either suspected smugglers or migrants entering the country illegally, with an aver- age of 30 years (range: 15–56 years).

Results:

Most victims presented in groups, with multiple traumatic injuries, including lower extremity wounds. The mortality rate in the minefield prior to hospital admission was 52.5%, and the amputation rate for the survivors was 37%. There were no deaths of the patients admitted to the hospital.

Conclusions:

Landmines cause highenergy injuries with high mortality and amputation rates. Illegal migrants are the main victims of landmine explosions in Greece.

Keywords

amputationantipersonnel landmine injuriesillegal migrantsminefieldspeacetimevictims
Type
Original Research
Information
Prehospital and Disaster Medicine , Volume 21 , Issue 4 , August 2006 , pp. 237 - 240
Copyright
Copyright © World Association for Disaster and Emergency Medicine 2006

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References

1.Giannou, C: Antipersonnel landmines: Facts, fictions, and priorities. BMJ 1997;315:1453–1454.Google ScholarPubMed
2.Kakar, F: Direct and Indirect Consequences of Landmines on Public Health. Geneva: World Health Organization, 1995.Google Scholar
3.Walsh, NE, Walsh, WS: Rehabilitation of landmine victims—The ultimate challenge. Bull World Health Organ 2003;81:665–670.Google ScholarPubMed
4.Wixley, S: What's the problem? Available at: http://www.icbl.org/prob- lem/what. Accessed 15 October 2004.Google Scholar
5.Anderson, K, Goose, SD, Stover, E, et al. : Landmines: A Deadly Legacy. New York, NY: Human Rights Watch and Physicians for Human Rights, 1993.Google Scholar
6.General Principles of Minewar. GES Military Publications, Athens, Greece.Google Scholar
7.Leibovici, D, Gofrit, ON, Stein, M, et al. : Blast injuries: Bus versus open-air bombings—A comparative study of injuries in survivors of open-air versus confined-space explosions. J Trauma 1996;41:1030–1035.Google Scholar
8.Hull, JB, Cooper, GJ: Pattern and mechanism of traumatic amputation by explosive blast. J Trauma 1996;40(3S):198–205.Google Scholar
9.Stover, E, Keller, AS, Cobey, J, et al. : The medical and social consequences of land mines in Cambodia. J Am Med Assoc 1994;272:331–336.Google Scholar
10.Strada, G: The horror of land mines. Sci Am 1996;26–31.Google Scholar
11.Gustilo, RB, Mentoza, RM, Williams, DN: Problems in the management of type III (severe) open fractures: A new classification of type III open fractures. J Trauma 1984;24:742–746.Google Scholar
12.Anderson, N, Palha da Sousa, C, Paredes, S: Social cost of land mines in four countries: Afghanistan, Bosnia, Cambodia, and Mozambique. BMJ 1995;311:718–721.CrossRefGoogle Scholar
13.Ascherio, A, Biellik, R, Epstein, A, et al. : Deaths and injuries caused by land mines in Mozambique. Lancet 1995;346:721–724.CrossRefGoogle ScholarPubMed
14.Meade, P, Mirocha, J: Civilian landmine injuries in Sri Lanka. J Trauma 2000;48:735–739.CrossRefGoogle ScholarPubMed
15.Jahunlu, HR, Husum, H, Wisborg, T: Mortality in landmine accidents in Iran. Prehosp Disast Med 2002;17:107–109.CrossRefGoogle ScholarPubMed
16.Landmine Monitor: International Campaign to Ban Landmines, Landmine Monitor Report 2002: Toward a Mine-Free World. New York: Human Rights Watch, August 2002.Google Scholar
17.Navein, J, Coupland, R, Roderick, D: The tourniquet controversy. J Trauma 2003;54S:s219–s220.Google Scholar
18.Lakstein, D, Blumenfeld, A, Sokolov, T, et al. : Tourniquets for hemorrhage control on the battlefield: A 4-year accumulated experience. J Trauma 2003;54S:s221–s225.Google Scholar
19.Rautio, J, Paavolainen, P: Afghan war wounded: Experience with 200 cases.J Trauma 1988;28:523–525.CrossRefGoogle ScholarPubMed
20.Coupland, RM, Korver, AJ: Injuries from antipersonnel mines: The experience of the International Committee of the Red Cross. BMJ 1991;303:1509–1512.Google Scholar
21.Husum, H, Gilbert, M, Wisborg, T, et al. : Land mine injuries: A study of 708 victims in north Iraq and Cambodia. Mil Med 2003;168:934–939.CrossRefGoogle ScholarPubMed
22.Kalatzis, C: Demining operations by Hellenic army. Presented at the Standing Committee on Mine Clearance, Mine Awareness and Mine Action Technologies, Geneva, 28 May 2002.Google Scholar