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    I. A. Lurin, E. M. Khoroshun, V. V. Makarov, V. V. Nehoduiko, S. V. Tertyshnyi, I. V. Veryovkin, R. S. Vastyanov

    CLASSIFICATION OF GUNSHOT FOREIGN BODIES MIGRATION


    About the author: I. A. Lurin, E. M. Khoroshun, V. V. Makarov, V. V. Nehoduiko, S. V. Tertyshnyi, I. V. Veryovkin, R. S. Vastyanov
    Heading CLINICAL MEDICINE
    Type of article Scentific article
    Annotation The purpose of the study was to provide the classification features of the gunshot foreign bodies migration. We analyzed 90 cases of gunshot shrapnel blind wounds of different localization for a certain period, where there was a foreign body migration in different ways. The wounded which were 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. We distinguish the following classification features: the localization of the entrance hole; the place of migration initiation; the direction of migration; the number of foreign bodies; the structure of foreign bodies; the migration distance; the process of migration occurrence; the time of migration; the cause of migration; the frequency of migration; the foreign body fixation during migration; the volume of referral of migration surgical treatment. The identification of following three landmarks (the entrance hole, the place of migration starts and the place of detection), two stages (the wound channel and the migration corridor) and the direction of gunshot foreign bodies migration form a complete conception. The authors state that gunshot foreign bodies migration represents a separate type of a gunshot wound manifestation. The proposed original classification of gunshot foreign bodies migration allows to sort the data of clinical observations, which is of great importance for adequate and rapid diagnosis, determination of direct foreign body migration and its direction, and for effective treatment of gunshot wounds with phenomena of gunshot foreign body migration.
    Tags gunshot wound,foreign bodies,migration,classification
    Bibliography
    • Atlas boyovoyi khirurhichnoyi travmy (dosvid antyterorystychnoyi operatsiyi/operatsiyi obyednanykh syl). Pid. red. V.I.  Tsimbalyuk. Kharkiv: Collegium, 2021. 385 [in Ukrainian].
    • Vohnepalni poranennya myakykh tkanyn (dosvid antyterorystychnoyi operatsiyi/operatsiyi obyednanykh syl). Pid. red. V.I.  Tsimbalyuk. Kharkiv: Collegium, 2020. 400 [in Ukrainian].
    • Voyenno-polyova khirurhiya. Pid red. Ya.L. Zarutskoho, V.Ya. Biloho. Kyiv: Phoenix, 2018. 544 [in Ukrainian].
    • Gerasimenko OS, Gaida YI, Okolets AV, Muradian KR. Khirurhichna taktyka pry hniyno-septychnykh uskladnennnyakh boyovoyi travmy zhyvota. Kharkivska khirurhichna shkola. 2021; 2(107): 103–108. [in Ukrainian]. doi:  https://doi.org/10.37699/2308-7005.2.2021.19.
    • Likuvannya poranenykh z boyovymy ushkodzhennyamy hrudey Pid. red. V.I. Tsimbalyuk. Ternopil: TNMU, 2023. 236 [in  Ukrainian].
    • Likuvannya poranenykh z boyovymy ushkodzhennyamy zhyvota (za dosvidom ATO/OOS). Pid. red. V.I. Tsimbalyuk. Kherson: Oldi+, 2022. 194 [in Ukrainian].
    • Klapchuk YuV. Sanitarni vtraty viyskovosluzhbovtsiv iz vohnepalnymy poranennyamy velykykh suhlobiv Travma. 2021; 22(1): 47–51. [in Ukrainian]. doi: https://doi.org/10.22141/1608-1706.1.22.2021.226413.
    • Choi BD, Stapleton CJ, Lee CK, Williams Z. Spontaneous migration of retained intracranial bullet. Br J Neurosurg. 2021; 35(1): 119. doi: 10.1080/02688697.2018.1485872.
    • Dantis K, Mehsare PS, Singha SK, Nilesh N. Transthoracic Migration of a Foreign Body into the Diaphragm from the Gunshot Injury and Its Management in a Child: A Case Report Surg J (NY). 2022; 8(3): 224–226. doi: 10.1055/s-0042-1756198.
    • Gutvert R, Kobirnichenko A, Bidula Ye. Balabanyk V. Successful management of penetrating shrapnel injury to the left ureter with delayed projectile migration through the urinary tract. IJU Case Reports. 2023; 362–364. doi: 10.1002/iju5.12623.
    • Khan UU, Kamal NM, Mirza SJ, Sherief LM. Pediatric air gun shot injury. Saudi Med J 2014; 35(12): 1507–1509.
    • Khoroshun EM, Makarov VV, Nehoduiko VV, Shypilov SA, Tertyshnyi SV, Veryovkin IV, et al. Non-operative treatment of gunshot wounds of soft tissues. World of Medicine and Biology. 2024; 2(88): 180–184. doi: 10.26724/2079-8334-2024-2-88-180-184.
    • Siddiqui MI, Hawksworth SA, Sun DY. Removal of Migrating Lumbar Spine Bullet: Case Report and Surgical Video. World Neurosurg. 2019; 131: 62–64. doi: 10.1016/j.wneu.2019.07.151.
    • Yue JK, Chang D, Han KJ, Wang AS, Oh T, Sun PP. Management of migrating intracranial bullet fragments in a 13-year-old female after firearm brain injury: technical and surgical nuances Brain Inj. 2022; 36(3): 432–439. doi:  10.1080/02699052.2022.2034185.
    • Zahid I, Rahim Khan HA, Irfan O, Fatima B, Tahir M, Tariq M. et al. Retrograde bullet migration from inferior vena cava into right common iliac vein following gunshot: A case report. J Pak Med Assoc. 2016; 66(12): 1673–1675.
    Publication of the article «World of Medicine and Biology» №3(89), 2024 year, 106-112 pages, index UDK 616.721.2-002+613.67:617+617.57/.58-001.45-089.81
    DOI 10.26724/2079-8334-2024-3-89-106-112