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No abstract

Since the destructive and illegal full-scale invasion of Ukraine in February 2022, caring for the victims of war trauma has been an essential function of Ukrainian clinicians [ 1, 2]. The authors present a case where using novel dynamic digital thermography (DDT), combined with international telemedicine support, contributed to saving the lower limb of an injured Ukrainian soldier. A male soldier in his 30s presented with a ‘through and through’ fragmentation wound to the right thigh from an artillery shell exploding nearby. After initial haemorrhage control and resuscitation, the patient was transferred to a tertiary hospital. Using telemedicine support, reconstructive surgery was planned and performed successfully using a perforating flap technique. DDT was used pre-operatively to identify a perforating vessel and post-operatively to ensure perfusion of the flap. The patient made a good recovery and was discharged 14 d post-operatively.

No abstract

Разработан способ обработки культи долевого бронха, который обеспечивает надежную герметичность, создает более выгодные аэродинамические условия, исключает возможность инфицирования перибронхиальных тканей и плевральной полости в момент пересечения бронха и по шовным каналам в последующем. При применении данного метода достигается минимальная длина просвета культи, сохраняется кровоснабжение до уровня пересечения, техника исполнения не требует специальных инструментов и навыков. Применение ангиографических методик позволило избежать торакотомных вмешательств у больных основной группы по поводу легочного кровотечения.