Treating patients with gunshot wounds and injuries of limb vessels
https://doi.org/10.25016/2541-7487-2015-0-4-38-41
Abstract
During current military conflicts, vessels are injured in 10–22 % of patients with gunshot injuries of extremities; this is one of the main causes of death during the war. Results of 376 operations to restore the blood flow in vessels were analyzed in 342 injured. 243 arterial and 13 venous vessels were sutured. The operations proceeded in specialized hospitals. In most cases, diameters of the vessels were less than 2 mm. Vein transplants were used for the plastic of the gunshot artery defects of 1–5 cm length. Technique of vessel suturing (separation of the injured vessel ends with further cutting their ends, holding them and suturing with microsurgical tools and optical magnifying devices) helped to restore circulation in 95.5 % of wounded.
About the Authors
N. G. Gubochkin
The Kirov Military Medical Academy
Russian Federation
Russian Federation
Dr. Med. Sci., head of the Reconstructive and Plastic Surgery Unit of the Department of Military Traumatology and Orthopedics, the Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6)
V. M. Gaidukov
The Kirov Military Medical Academy
Russian Federation
Russian Federation
Dr. Med. Sci., Prof. the Department of Military Traumatology and Orthopedics, the Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6)
S. I. Mikityuk
The Kirov Military Medical Academy
Russian Federation
Russian Federation
doctor of the Department of Military Traumatology and Orthopedics, the Kirov Military Medical Academy (Russia, 194044, Saint-Petersburg, Academica Lebedeva Str., 6)
References
1. Afonina E.A. [et al.]. Kurs plasticheskoi khirurgii [Course of the plastic surgery]: in 2 Vol. Ed. K.P. Pshenisnov. Yaroslavl' : Rybinsk. 2010. Vol. 1 : Obshchie voprosy. Kozha i ee porazheniya. Golova i sheya [General topics. Skin and its lesions. Head and neck]. 753 p. (In Russ.)
2. Voennaya travmatologiya i ortopediya [Military traumatology and orthopedics]. Ed. V.M. Shapovalov. Sankt-Peterburg. 2014. Chapter 7. Osobennosti lecheniya perelomov kostei, soprovozhdayushchikhsya povrezhdeniem magistral'nykh sosudov i nervov [The treatment of the bone fractures with injuries of the main blood vessels and nerves]. Pp. 281–289. (In Russ.)
3. Nikolenko V.K. Klinika i lechenie vzryvnykh ranenii kisti [Diagnostic and treatment of the blast injuries of the wrist]. Vzryvnye porazheniya [Blast injuries] : Scientific. Conf. Proceedings. Sankt-Peterburg. 1994. Pp. 180–187. (In Russ.)
4. Nikolenko V.K. O lechenii ognestrel'nykh ranenii sosudov [About the treatment of the gunshot injuries of the vessels]. Vrach [The Doctor]. 1995. N 5. Pp. 23–25. (In Russ.)
5. Petrovskii B.V. Khirurgicheskoe lechenie ranenii sosudov [Surgical treatment of the gunshot injuries of the vessels]. Moskva. 1949. 251 p. (In Russ.)
6. Samokhvalov I.M. Boevye povrezhdeniya magistral'nykh sosudov, diagnostika i lechenie na etapakh meditsinskoi evakuatsii [Combat injuries of the main vessels. Diagnostics and treatment at medical evacuation stages] : Abstract dissertation Dr. Med. Sci. Sankt-Peterburg, 1994. 45 p. (In Russ.)
7. De Bakey M.E., Simeone F.A. Battle injuries of the arteries in world war II: an analysis of 2471 cases. Ann. Surg. 1946. Vol. 123, N 4. P. 534–579.
8. Dedmond B.T., Kortesis B., Punger K. [et al.]. The use of negative–pressure wound therapy (NPWT) in the temporary treatment of soft tissue injuries associated with high-energy open tibial shaft fractures. J. Orthop. Trauma. 2007. Vol. 21, N 1. Р. 11–17.
Review
For citations:
Gubochkin N.G., Gaidukov V.M., Mikityuk S.I. Treating patients with gunshot wounds and injuries of limb vessels. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2015;(4):38-41. (In Russ.) https://doi.org/10.25016/2541-7487-2015-0-4-38-41
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