Organization of Diagnostic and Dynamic Observation During Reconstructive Restoration of Gunshirting Soft Tissues

Abstract

Summary. Damage to the soft tissues of the human body is found both in peacetime and during the war, but the firearms nature has become relevant for Ukraine. Despite the experience gained surgery from previous wars in the treatment of gunshot injuries, there is still no generally accepted diagnostic scheme and classification for reconstructive closure of such specific injuries.
 The aim. Demonstrate the features of various methods for diagnosing gunshot wounds of soft tissues proposed for reconstruction of a damaged area.
 Results. In order to improve the quality of surgical care at the stages of medical evacuation, it is always necessary to carry out diagnostic procedures and treatment together. Sometimes it is impossible to implement medical care — it is on the front line, sometimes there is a lack of material resources — in the CDL, but it must be understood that the amount of diagnosis and treatment of a gunshot wound with soft tissue damage is always a difficult process.
 Conclusions. A multimodal approach to diagnostics and dynamic observation in the reconstruction of soft tissue gunshot injury not only restores the integrity of the damaged anatomical structure but also increases the percentage of functional capacity.

The treatment results of patients with postoperative ventral hernias after multi-stage surgery of open abdominal gunshot wounds (improvement of hernioplasty-technique)

“…It is very important to find the best method of surgical treatment of significant defects of the anterior abdomen wall that remain after numerous laparotomies during surgery treatment of gunshot peritonitis [6][7]. Surgical treatment of postoperative ventral hernias after a combat abdominal injury has a number significant features associated with the wound process [8][9]. The abdominal wall is a complex structure that has a multitude of components that include skin, muscles, aponeuroses, fat, and mesothelium.…”