| About the author: |
Verba А.V., Zheliba M.D., Bogush G.L., Halushka А.М., Dovgan I.I. |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
The purpose of the work was to study the character of modern abdominal combat injuries and to share the experience of the rehabilitation and restorative surgical interventions in patients with stomas. Analysis of the medical documents of 15 patients injured in abdomen, who were imposed by a discharged stoma, was conducted. After eliminating life threat, reconstructive surgical interventions, which consisted in elimination of stoma and imposition of different types of colonic anastomoses, were performed. 7 patients have complications in the postoperative period, such as acute ulcers of the upper gastrointestinal tract in 2 cases, external fistula of small intestine in 1 case, acute adhesive obstruction in 1 case and suppuration of the wound in 5 cases. The obtained results reveal severity of thwe modern abdominal warfare injury and complexity of the reconstructive-restoration operations in patients with numerous postoperative complications. |
| Tags |
abdominal war injury, colostomy, reconstructive operations |
| Bibliography |
- Belenkiy VA, Mikhaylusov RN, Negoduyko VV. Diagnostika i lecheniye boyevykh ognestrelnykh raneniy zhivota. Aktualní problemy suchasnoyi medytsyny. Vísnyk VDNZU Ukrayinska medychna stomatolohíchna akademíya. 2017; 17(57):12-18. [in Russian]
- Belyi VYa. Ocherki boyevoy travmy zhivota. K.: «MP Lesya»; 2016. 212 s. [in Russian]
- Bryusov VT. Khirurgiya sovremennoy boyevoy travmy. Voyenno-meditsinskiy zhurnal. 2010; 1:20-28. [in Russian]
- Dozertsev IL. Rekonstruktivno-vosstanovitelnyye operatsii na tolstoy kishke pri likvidatsii kolostom [avtoreferat]. Nizhniy Novgorod. 2005. 22 s. [in Russian]
- Zarutskyi AA, Shudrak AA, redaktory. Vkazivky z voyenno-polyovoyi khirurhiyi. Kyiv: SPD Chaplynska NV; 2014. 396 s. [in Ukrainian]
- Kashtalyan MA, Khomenko YP, Gerasymenko OS, Shapovalov VYu. Osobennosti khirurgicheskogo lecheniya ohnestrelnykh raneniy tolstoy kishki. Kharkivska khirurhichna shkola. 2017; 2(83):126-128. [in Russian]
- Krasnoselskyi NV, Belyi AN. Khirurgicheskiye aspekty zakrytiya kolostom. Perspektyvy rozvytku rekonstruktyvno-plastychnoyi khirurhiyi v onkolohiyi: Materialy naukovo-praktychnoyi konferentsiyi za uchasti mizhnarodnykh fakhivtsiv. Kharkiv, 21-22 veresnya 2015r. Kharkiv; 2015, s. 34-37. [in Russian]
- Trutyak IR, Hayda IM, Prokhorenko HA, Medzyn VI, Trutyak RI ta in. Osoblyvosti uskladnen suchasnoyi boyovoyi travmy zhyvota. Halytskyi likarskyi visnyk. 2016; 23(3, ch. 3):67-69. [in Ukrainian]
- Khomenko IP, Shudrak AA. Boyova khirurhichna travma v khodi provedennya ATO. XXIII zyizd khirurhiv Ukrayiny [Elektronnyy resurs]: Zb. nauk. robit. Elektronni dani. Kyiv. Klinichna khirurhiya. 2015. Dostupno na: https://urgent.com.ua › ua-issue-article-567. [in Ukrainian]
- Khomenko IP, Herasymenko OS, Yenin RV, Halushka AM, Kazmirchuk AP Osoblyvosti khirurhichnoho likuvannya vohnepalnykh poranen zhyvota. Klinichna khirurhiya. 2018;85(9):71-74. [in Ukrainian]
- Shatalin AV, Kravtsov SA, Agalaryan AKH i dr. Taktika lecheniya postradavshego s mnozhestvennymi ognestrel'nymi raneniyami Politravma. 2015;3:63-75. [in Russian]
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| Publication of the article |
«World of Medicine and Biology» №4(70), 2019 year, 025-029 pages, index UDK 616-089.86:340.624-1:617.55 |
| DOI |
10.26724/2079-8334-2019-4-70-25-29 |
