| About the author: |
I. P. Khomenko, S. V. Tertyshnyi, R. S. Vastyanov, K. O. Talalayev |
| Heading |
CLINICAL MEDICINE |
| Type of article |
Scentific article |
| Annotation |
During the Joint Forces operation in Eastern Ukraine the provision of surgical care modern technology treatment and rehabilitation of wounded with soft tissues gunshot defects is one of the governmental priorities. The current state of this problem characterizes by soft tissue gunshot wounds incidence increase. 34 patients with soft tissues gunshot wounds among all admitted for medical care were selected and were treated using differentiated surgical tactics using blood vessels ultrasound duplex examination. We did not register any episode of complications in patients during intra- and postoperative period of treatment. Our data revealed vessels ultrasound duplex examination high reproducibility, easiness of use during intra- and postoperative care and effectiveness. The introduction of the original differentiated surgical tactics to wounded with a multimodal approach to the soft tissues gunshot defects reconstruction helped to reduce traumatic illness complications, number of postoperative purulent-destructive and thromboembolic complications. |
| Tags |
ultrasound, diagnostic, treatment, gunshot defects, reconstruction, surgery, new concept |
| Bibliography |
- Badyuk MІ. Pro vdoskonalennya systemy medichnoho zabezpechennya vіysk u zbroynykh konflіktakh. Medichne zabezpechennya antyterorystychnoyi operatsіyi: naukovo-praktichnі ta mediko-socіalnі aspekty. K, 2016: 265–267 [In Ukrainian]
- Bilyi VJa, Verba AV, Badyuk MI. Aktualnist “platynovoyi' khvylyny” ta “zolotoyi hodyny” dlia suchasnoyi systemy likuvalno-evakuatsiynykh zahodiv. Ukrayina. Zdorovya natsiyi. Kyiv, 2016; 4(40): 19–26 [In Ukrainian]
- Bilyi VJa, Verba AV, Badyuk MI. Rozvytok systemy likuvalno-evakuatsiynoho zabezpechennya vijsk (v istorychnomu aspekti). Problemy viyskovoyi' ohorony zdorovya: Zbirnyk naukovyh prac' UVMA. К, 2017; 47: 9–30 [In Ukrainian]
- Voyenno-polyova hirurhiya: pidruchnyk. Red. Ja.L. Zarutskyi, V.Ja. Bilyy. Kyiv: FENІKS, 2018: 203-211, 369–401 [In Ukrainian]
- Khomenko IP, Humenjuk KV, Cema JeV, Shapovalov VJu, Tertyshnyj SV. Organizatsiya diagnostyky ta dynamichne sposterezhennja pry rekonstruktyvnomu vidnovljuvanni vognepal'nyh ran myakykh tkanyn. Kharkіvska khіrurhіchna shkola. 2020; 2(101): 119–126 doi:https://doi.org/10.37699/2308-7005.2.2020.24. [In Ukrainian].
- Khomenko ІP, Lurin IA, Korol SO, Shapovalov VYu, Hrebennikov KO, Halushka AM, Tertyshnyi SV, Matviichuk BV. Organization of sorting and surgery of wounds with soft tissue efects during the joint force surgery. Journal of Education, Health and Sport. 2020; 10(1): 259 [doi: 10.12775/JEHS.2020.10.01.029]
- Shanaev I.N. Vozmozhnosti ultrazvukovogo dupleksnogo angioskanirovaniya v diagnostike mikrocirkulyatornykh narusheniy pri varikoznoy bolezni. Science of the young (Eruditio Juvenium). 2020; 8(1): 31–37 doi:10.23888/HMJ20208131-37 [In Russian]
- Shvalb PG, Shanaev IN, Pozdeev DV. Topografo-anatomicheskie osobennosti medial'nykh perforantnykh ven goleni. Kubanskiy nauchnyy meditsinskiy vestnik. 2014; 5(147) : 147–153 [In Russian]
- Giesswein P, Constance CG, Mackay DR, Manders EK. Supercharged latissimus dorsi muscle flap for coverage of the problem wound in the lower back. Plast. Reconstr. Surg. 1994; 94: 1060–1063. doi: 10.1097/00006534-199412000-00023
- Kehrer A, Heidekrueger PI, Lonic D, Taeger CD, Klein S, Lamby P, Sachanadani NS, Jung EM, Prantl L, Batista da Silva NP. High-Resolution Ultrasound-Guided Perforator Mapping and Characterization by the Microsurgeon in Lower Limb Reconstruction. J Reconstr Microsurg. 2021; 37(1): 75–82. doi: 10.1055/s-0040-1702162
- Kehrer A, Lonic D, Heidekrueger P, Bosselmann T, Taeger CD, Lamby P, Kehrer M, Jung EM, Prantl L, Platz Batista da Silva N. Feasibility study of preoperative microvessel evaluation and characterization in perforator flaps using various modes of color-coded duplex sonography (CCDS). Microsurgery. 2020; 40(7): 750–759. doi: 10.1002/micr.30648
- Kehrer A, Sachanadani NS, da Silva NPB, Lonic D, Heidekrueger P, Taeger CD, Klein S, Jung EM, Prantl L, Hong JP. Step-by-step guide to ultrasound-based design of alt flaps by the microsurgeon - Basic and advanced applications and device settings. J Plast Reconstr Aesthet Surg. 2020; 73(6): 1081–1090. doi: 10.1016/j.bjps.2019.11.035
- Kolacz S, Moderhak M, Jankau J. New perspective on the in vivo use of cold stress dynamic thermography in integumental reconstruction with the use of skin-muscle flaps. J Surg Res. 2017; 212: 68-76. doi: 10.1016/j.jss.2016.12.022.
- Lim HJ. A review of management options for splenic artery aneurysms and pseudoaneurysms. Ann Med Surg (Lond). 2020; 59: 48–52. doi: 10.1016/j.amsu.2020.08.048
- Naqvi TZ, Perese S. Noninvasive vascular appropriateness criteria - review and comments on the AmericanCollege of Cardiology (ACC) Guidelines. J Am Soc Echocardiogr. 2013; 26(5): 34. doi: 10.1016/j.echo.2013.03.001
|
| Publication of the article |
«World of Medicine and Biology» №3(77), 2021 year, 169-174 pages, index UDK 613.67:617 |
| DOI |
10.26724/2079-8334-2021-3-77-169-174 |
