Explosion injuries in Kuwait: review of 217 patients

The treatment of explosion injuries to the extremities in 217 patients at Al-Razi Orthopaedic Hospital, Kuwait, is reviewed. The data are presented and discussed. The patients were studied with respect to age, sex, nationality, type and extent of injury and surgical treatment. An emphasis is placed on radical surgical debridement and early soft tissue cover

Acute appendicitis in Kuwait

Three hundred cases of appendicitis were analysed for age, sex nationality, clinicopathological presentation, postoperative complications and sepsis. The peak age of the subjects was in the third decade, and the male: female ratio was 3:1. Only 24% of patients were Kuwaiti [Kuwait is a very cosmopolitan community]. Diagnosis was based upon pain and tenderness in all the patients. Rectal examination was done in 21.7%. The normal appendicectomy rate was 12.7%, and the perforation rate 14%. Peroperative surgeon's sensitivity, specificity and accuracy of diagnosis was studied; surgeon's specificity was found to be only 47.4%. Overall, postoperative complications were seen in 36.3% of the patients. The relationship between sepsis and pathological findings and peritoneal reaction is discussed