Novosti
Khirurgii

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Year 2013 Vol. 21 No 2

HISTORY SURGERY

S.A. SUSHKOV, YU.S. NEBYLITSIN, E.N. REUTSKAYA, A.N. RAK

DIFFICULT PATIENT. WOUND OF PYOTR IVANOVICH BAGRATION. PART III

EE “Vitebsk State Medical University”
The Republic of Belarus

The analysis of medical aid rendering to Prince P.I. Bagration wounded during Battle of Borodino has been carried out in the third part. Basing on the documents of the Patriotic War of 1812 as well as memoirs of direct participants and historians of the XIX century the events occurring after injury were restored in stages. Analysis of the military situation at the Battle of Borodino during the retreat of the Russian army up to Moscow showed that the events in the theater of military actions had a significant impact on the process of helping to Prince P.I. Bagration. Due to the unfavorable situation created in the band of the 2nd Western army at Borodino the rapid retreat of the Russian army from Mozhaisk as well as the severe state of the commander the physicians could not make a complete initial wound debridement within the first 48 hours.
The necessity of rapid evacuation of Prince P.I. Bagration from Moscow has prevented the timely implementation of secondary wound treatment at the development of phlegmon around the wound. Further progression of the infection process was followed by addition of putrid infection. Refusal of P.I. Bagration on the proposed surgical intervention led to the development of osteomyelitis, sepsis and anaerobic infection.
Expansion of the wound which P.I. Bagration permitted to perform on arrival at Simi could not change anything. On the next day to perform amputation without any slight chance of recovery was meaningless, it would only exacerbate the suffering of the commander. The cause of death was generalization of infection, accession of the anaerobic infection, prolonged severe intoxication.
Physicians who treated P.I. Bagration performed their duties scrupulously and treated the patient in accordance with the principles in that period and adapted to the evolving situation.
However unfavorable military situation in the theater of military actions and categorical denials of P.I. Bagration from operation did not allow physicians to realize all the possibilities.

Keywords: history of military field surgery, Battle of Borodino, wound of Pyotr Ivanovich Bagration, medical aid rendering
p. 3 – 20 of the original issue
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Address for correspondence:
210023, Respublika Belarus, g. Vitebsk, pr. Frunze, d. 27, UO «Vitebskiy gosudarstvennyiy meditsinskiy universitet», kafedra obschey khirurgii,
e-mail: nebylicin.uravgm@mail.ru,
Nebylitsin Yuriy Stanislavovich
Information about the authors:
Sushkov S.A. PhD, associate professor, vice-rector on scientific research work of EE “Vitebsk State Medical University.
Nebylitsin Yu.S. PhD, associate professor of the chair of general surgery of EE “Vitebsk State Medical University”
Reutskaya E.N. A 6-year student of the medical faculty of EE “Vitebsk State Medical University”.
Rak A.N. A 6-year student of the medical faculty of EE “Vitebsk State Medical University”.
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