English Українська
  • Main
  • Useful links
  • Information for Contributors
  • About
  • Editorial board

  • Article
    V. A. Cherniak, V. M. Rogovskiy, Yu. V. Nahaliuk, S. V. Dybkaliuk, R. V. Gybalo, K. K. Karpenko

    TREATMENT OF COMBAT FIRE INJURIES CONSEQUENCES OF THE LOWER LIMBS’ MAJOR VESSELS FOR THE PERIOD OF ATO AND JFO IN 2014-2019


    About the author: V. A. Cherniak, V. M. Rogovskiy, Yu. V. Nahaliuk, S. V. Dybkaliuk, R. V. Gybalo, K. K. Karpenko
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation Gunshot wounds to blood vessels are severe injuries that are often combined with damage to other anatomical structures. Only 21 % had injuries to the main vessels and soft tissues, the rest had injuries to the bones and nerves. In 45.6 % the injuries were isolated, which makes 45.6 %, in 54.4 % – multiple, including injuries of the lower and upper extremities or both lower (22.8 %), head and neck injuries (1.8 %), chest organs (3.5 %), abdominal organs (3.5 %). In most cases, there were injuries of the femoral-popliteal segment, which is 78.9 %, less than the tibial segment 19.3 % and injuries of the femoral-popliteal and tibial segments by 1.8 %. All the wounded were of conscription age. The total of 565 operations were performed to 57 wounded, including 88 on the major vessels (15.6 %), amputations and reamputations – 15 (2.7 %), surgical treatment of the wound – 382 (67.6 %), others – 80 (14.1 %).
    Tags major vessels of lower extremities, gunshot wounds, amputation, shunting, surgical treatment of wound
    Bibliography
    • Boiko VV, Prasol VO, Rogovsky VM, Ivanova YV. Ushkodgennya mahistralnykh sudyn. Kharkiv: Promin; 2020. 216p.[in Ukrainian]
    • Korol SO. Medychna evakuatsiya v systemi nadannya dopomohy poranenym z vohnepalnymy perelomamy kistok homilky ta vidryvamy kintsivok pid chas antyterorystychnoyi operatsiyi. Travma. 2016; 4(17): 92–95. DOI: 10.22141/1608-1706.4.17.2016.77497. [in Ukrainian]
    • Rogovsky VM, Shepetov MV,  Gumenyuk NV, Gibalo RV. Lecheniye ognestrelnykh raneniy magistralnykh arteriy. Kiev: Kniga-plus; 2021. 114p. [in Russian]
    • Eastridge BJ, Mabry RL, Seguin P, Cantrell J, Tops T. Death on the battlefield (2001-2011): Implications for the future of combat casualty care. J. Trauma Acute Care Surg. 2012; 73(6):  431–437. doi: 10.1097/TA.0b013e318275 5dcc.
    • Mathieu L, Bazile F, Barthélémy R. Damage control orthopedics in the context of battlefield injuries: the use of temporary external fixation on combat trauma soldiers. Orthop Traumatol Surg Res. 2011; 97(8):852–9 doi: 10.1016/j.otsr.2011.05.014.
    • Rich S. Vascular Trauma. Third edition. China: Elseviar; 2016. 1261p.
    • Schweizer MA, Janak JC, Stockinger ZT, Monchal T. Description of trauma among French service members in the Department of Defense Trauma Registry: understanding the nature of trauma and the care provided. Mil Med Res. 2019 Feb 27; 6(1):7. doi: 10.1186/s40779-019-0197-6.
    • Stern CA, Stockinger ZT, Todd WE, Gurney JM. An Analysis of Orthopedic Surgical Procedures Performed During U.S. Combat Operations from 2002 to 2016. Mil Med. 2019 Apr 24. pii: usz093. doi: 10.1093/milmed/usz093.
    Publication of the article «World of Medicine and Biology» №2(76), 2021 year, 153-158 pages, index UDK 616.14-089
    DOI 10.26724/2079-8334-2021-2-76-153-158