This journal is
indexed in Scopus
Year 2012 Vol. 20 No 3
TRAUMATOLOGY AND ORTHOPEDICS
A.P. TRUKHAN 1, S.A. ZHIDKOV 2, V.E. KORIK 1, K.A. FEDOROV 1
SURGICAL AID AT HOSPITALIZATION OF LARGE NUMBER OF PATIENTS WITH EXPLOSIVE LESIONS
EE “ Belarusian State Medical University” 1,
Military medical administration of the Ministry of defense 2., Minsk,
The Republic of Belarus
Objectives. To determine the most spread operative interventions in the patients with explosive lesions.
Methods. The research is based on the treatment analysis of 195 victims of the explosion at the metro station “Oktyabrskaya” who were hospitalized to the medical establishments of Minsk in April, 11, 2011.
Results. Operative interventions in victims as the result of the given terror act have been studied. The main types of surgeries on various anatomical areas have been analyzed; technical peculiarities and priorities of their application have been determined. The most frequent performance of the primary surgical wound treatment has been revealed and it sets conditions for the necessity to possess the technique of its carrying out. The importance of active diagnostic search in victims with explosive lesions for early revealing life-threatening outcomes of a trauma has been demonstrated. At the same time it is required to apply all possible laboratory and instrumental methods including invasive ones (celiocentesis, laparoscopy). The correlation between the type character and the operative intervention volume at the bone fractures and type of lesion, severity of patient’s state and availability of medical specialists and corresponding equipment has been viewed.
Conclusions. The victims with the explosive lesions require large amounts of operative interventions including the specialized aid and at the same time it is necessary to follow the “damage control” principles. Each surgeon must know pathogenesis and treatment peculiarities of gunshot and mine-explosive injuries as well as to posses the primary surgical wound treatment technique.
1. Nechaev EA, red. Vzryvnye porazheniia : ruk dlia vrachei i studentov [Explosive injuries: a guide for physicians and students]. Saint-Petersburg, RF: IKF Foliant, 2002. 656 p.
2. Bykova IIu, Yefimenko NA, Gumanenko EK. Voenno-polevaia khirurgiia: natsional'noe rukovodstvo [Military surgery: a national guide]. Moscow, RF: GEOTAR-Media, 2009. 816 p.
3. Bisenkov LN. Khirurgiia minno-vzryvnykh ranenii [Surgery of mine-explosive injuries]. Saint-Petersburg, RF: Akropol', 1993. 320 p.
4. Tolstykh MP, Lutsevich OE, Akhmedov BA, Geinits AB, Ataev AR. Ognestrel'nye raneniia konechnostei mirnogo vremeni [Gunshot wounds of the extremities in the peace-time]. Moscow, RF: Meditsina, 2005. 80 p.
5. Shvyrkov MB, Burenkov GI, Demenkov VR. Ognestrel'nye raneniia litsa, LOR-organov i shei : ruk dlia vrachei [Gunshot wounds to the face, ear, nose, throat and neck: a guide for physicians]. Moscow, RF: Meditsina, 2001. 400 p.
6. Revskoi AK, Liufing AA, Voinovskii EA, Klipak VM. Ognestrel'nye raneniia zhivota i taza. [Gunshot wounds to abdomen and pelvis]. Moscow, RF: Meditsina, 2000. 320 p.
7. Polishchuk NE, Starcha VI. Ognestrel'nye raneniia golovy [Gunshot wounds to the head]. Kiev, SSSR: ToN, 1996. 72 p.
8. Revskoi AK, Liufing AA, Nikolenko VK. Ognestrel'nye raneniia konechnostei [Gunshot wounds to the extremities]. Moscow, RF: Meditsina, 2007. 288 p.
220034, Respublika Belarus', g. Minsk, ul. Azgura, 4, UO “Belorusskii gosudarstvennyi meditsinskii universitet”, voenno-meditsinskii fakul'tet, kafedra voenno-polevoi khirurgii,
Trukhan Aleksey Petrovich
Trukhan A.P., Candidate of Medical Sciences, Major of Medical Service, Assistant of Military Field Surgery Chair of the Military Medicine Faculty of EE "Belarusian State Medical University."
Zhidkov S.A., Doctor of Medical Sciences, Professor, Colonel of Medical Service, the Chief of Military Medical Department of the Ministry of Defense of the Republic of Belarus.
Korik V.E., Candidate of Medical Sciences, Associate Professor, Colonel Of Medical Service, Head of Military Field Surgery Chair of the Military Medicine faculty of EE "Belarusian State Medical University."
Fedorov K.A., Lieutenant, a 6th year student of the Military Medical Faculty of EE "Belarusian State Medical University.