IMPROVING TREATMENT OUTCOMES IN CIVILIANS WITH GUNSHOT ABDOMINAL WOUNDS RECEIVED IN LOCAL MILITARY CONFLICTS
Abstract
This study was undertaken to evaluate early and late postoperative periods in patients operated on for gunshot abdominal wounds. We found that the main drawbacks in providing medical care to civilians with severe gunshot injuries received in local conflicts included the lack of pre-hospital emergency care, proper infrastructure for the hospital stage, continuity in treatment, rehabilitation, and the ability to analyze treatment outcomes. Improper training of personnel to provide assistance to patients with severe combined trauma is also an important factor. The main criteria for choosing active surgical tactics for patients with gunshot abdominal wounds received in a regional conflict include the anatomical landmarks of the injury, poor or critical condition of the patient, shock, and absolute signs of a penetrating wound. More than two-thirds of patients with gunshot abdominal wounds (76.4%) develop complications in the late postoperative period, primarily postoperative ventral hernias and adhesions in the abdominal cavity.
About the Authors
V. V. Maslyakov
Private Institution of Higher Education ‘Medical University ‘Reaviz’
Russian Federation
Samara
Russian Federation
Samara
A. Ya. Dadaev
ФГБОУ ВПО «Чеченский государственный университет»
Russian Federation
Russian Federation
S. A. Kulikov
Private Institution of Higher Education ‘Medical University ‘Reaviz’
Russian Federation
Samara
Russian Federation
Samara
Ch. A. Allakhyarov
Private Institution of Higher Education ‘Medical University ‘Reaviz’
Russian Federation
Samara
Russian Federation
Samara
M. A. Shikhmagomedov
Private Institution of Higher Education ‘Medical University ‘Reaviz’
Russian Federation
Samara
Russian Federation
Samara
References
1. Linyov K.A., Torba A.V. Taktika hirurgicheskogo lecheniya ognestrel'nyh ranenij zhivota // Novosti hi-rurgii. – 2016. – T. 24. - № 1. – S. 93–98.
2. Maslyakov V.V., Dadaev A.Ya., Kerimov A.Z., Hasihanov S.S. Neposredstvennye i otdalennye rezul'taty lecheniya bol'nyh s ognestrel'nymi raneniyami zhivota // Fundamental'nye issledovaniya. – 2013. – № 7. – S. 339–343.
3. Gromov M.S., Kerimov L.Z. Hirurgicheskaya taktika pri ognestrel'nyh raneniyah zhivota v usloviyah regional'nogo konflikta // Saratovskij nauchno-medicinskij zhurnal. – 2010. – T. 6. – №2. – S. 460–462.
4. Romanova A.V. Luchevaya diagnostika travm zhivota v lechebnom uchrezhdenii pervogo urovnya // Medicinskij vestnik MVD. – 2015. – № 3. – S. 40–42.
5. Aglaryan A.H. Hirurgicheskoe lechenie i letal'nost' u pacientov s abdominal'nymi povrezhdeniyami pri politravme // Politravma. – 2014. – № 4. – S. 24–31.
6. Hadzhibaev A.M., Mustafakulov I.B. Integral'nye sistemy ocenki tyazhesti sostoyaniya postradavshih s tyazheloj sochetannoj travmoj zhivota // Vestnik ekstremal'noj mediciny – 2012. – № 4. – S. 23–26.
7. Frink M, Lechler Ph et al. Multiple trauma and emergency room management // Dtsch Arz-tebl Int – 2017. – Vol. 114. – P. 497–503.
8. Gumanenko E.K., Nemchenko N.S., Goncharov A.V., Pashkovskij E.V. Travmaticheskij shok kak odna iz klinicheskih form ostrogo perioda travmaticheskoj bolezni // Vestnik hirurgii. – 2004. – № 6. – S. 52–54.
Review
For citations:
Maslyakov V.V., Dadaev A.Ya., Kulikov S.A., Allakhyarov Ch.A., Shikhmagomedov M.A. IMPROVING TREATMENT OUTCOMES IN CIVILIANS WITH GUNSHOT ABDOMINAL WOUNDS RECEIVED IN LOCAL MILITARY CONFLICTS. Bulletin of the Medical Institute "REAVIZ" (REHABILITATION, DOCTOR AND HEALTH). 2020;(2):51-56. (In Russ.)
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