Year 2012 Vol. 20 No 3

TRAUMATOLOGY AND ORTHOPEDICS

A.P. TRUKHAN 1, S.A. ZHIDKOV 2, V.E. KORIK 1, K.A. FEDOROV 1

SURGICAL AID AT HOSPITALIZATION OF LARGE NUMBER OF PATIENTS WITH EXPLOSIVE LESIONS

EE “ Belarusian State Medical University” 1,
Military medical administration of the Ministry of defense 2., Minsk,
The Republic of Belarus

Objectives. To determine the most spread operative interventions in the patients with explosive lesions.
Methods. The research is based on the treatment analysis of 195 victims of the explosion at the metro station “Oktyabrskaya” who were hospitalized to the medical establishments of Minsk in April, 11, 2011.
Results. Operative interventions in victims as the result of the given terror act have been studied. The main types of surgeries on various anatomical areas have been analyzed; technical peculiarities and priorities of their application have been determined. The most frequent performance of the primary surgical wound treatment has been revealed and it sets conditions for the necessity to possess the technique of its carrying out. The importance of active diagnostic search in victims with explosive lesions for early revealing life-threatening outcomes of a trauma has been demonstrated. At the same time it is required to apply all possible laboratory and instrumental methods including invasive ones (celiocentesis, laparoscopy). The correlation between the type character and the operative intervention volume at the bone fractures and type of lesion, severity of patient’s state and availability of medical specialists and corresponding equipment has been viewed.
Conclusions. The victims with the explosive lesions require large amounts of operative interventions including the specialized aid and at the same time it is necessary to follow the “damage control” principles. Each surgeon must know pathogenesis and treatment peculiarities of gunshot and mine-explosive injuries as well as to posses the primary surgical wound treatment technique.

Keywords: explosive lesions, terror act, surgical aid
p. 60 – 64 of the original issue
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Address for correspondence:
220034, Respublika Belarus', g. Minsk, ul. Azgura, 4, UO “Belorusskii gosudarstvennyi meditsinskii universitet”, voenno-meditsinskii fakul'tet, kafedra voenno-polevoi khirurgii,
e-mail: aleksdoc@yandex.ru,
Trukhan Aleksey Petrovich
Information about the authors:
Trukhan A.P., Candidate of Medical Sciences, Major of Medical Service, Assistant of Military Field Surgery Chair of the Military Medicine Faculty of EE "Belarusian State Medical University."
Zhidkov S.A., Doctor of Medical Sciences, Professor, Colonel of Medical Service, the Chief of Military Medical Department of the Ministry of Defense of the Republic of Belarus.
Korik V.E., Candidate of Medical Sciences, Associate Professor, Colonel Of Medical Service, Head of Military Field Surgery Chair of the Military Medicine faculty of EE "Belarusian State Medical University."
Fedorov K.A., Lieutenant, a 6th year student of the Military Medical Faculty of EE "Belarusian State Medical University.
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