ALGORITHM OF PATIENTS WITH GUNSHOT FOREIGN BODIES MIGRATION TREATMENT

Authors:

Abstract:

The purpose of the study was to create an algorithm for gunshot foreign bodies migration diagnoses. We analyzed 90 cases of gunshot shrapnel blind wounds of different localization where there was a foreign body migration in different ways. The wounded admitted to the Military Medical Clinical Centre of the Northern Region of the Command of the Medical Forces of the Armed Forces of Ukraine were examined by X-ray and, as indicated, using videoendoscopic methods. Thoracoscopy, laparoscopic, and arthroscopic surgical interventions were performed. The surgical interventions performed in one stage prevailed in the case of gunshot foreign bodies migration. They were performed in 64.4 % of cases. Two-staged surgical interventions were done in 32.3 % of cases and in three stages in 3.3 % of cases. The authors state that the use of the original algorithm for patients' treatment with gunshot foreign body migration allows step-by-step, taking into account indications, to perform the necessary amount of surgical intervention depending on the direction of treatment in the presence or absence of indications for operative treatment, to make the correct tactical decision. A fundamental approach with the use of general theoretical, experimental, and laboratory, including mathematical and statistical analysis methods, is critical in the case of a considerable number of patients with gunshot wounds of the body and its individual parts. The original algorithm of diagnostic and therapeutic actions and the analysis of new conceptual approaches regarding the migration of gunshot foreign bodies will be useful for medical science and practical health care in the peaceful time of state reconstruction after the war.

Keywords:

gunshot wound migration foreign bodies algorithm of treatment

References:

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Publication:

«World of Medicine and Biology» Vol. 20 No. 90 (2024) , с. 144-149
УДК 616.721.2-002+613.67:617+617.57/.58-001.45-089.81

DOI:

https://doi.org/10.26724/2079-8334-2024-4-90-144-149