I Introduction. In generalizing the experience of providing medical care to the wounded in armed conflicts, a special place belongs to the analysis of the magnitude and structure of casualties, which depend on the conditions, forms and methods of hostilities. The purpose. Conduct a clinical and epidemiological analysis of the proportion of gunshot and mine injuries in the structure of combat surgical trauma during the Anti-terrorist operation / Joint Forces operation. Materials and methods. The total number of wounded as a result of the armed conflict in eastern Ukraine in the period from 2014 to 2019 was more than 41 thousand people, from them killed among the civilian population – 3350 people and 4100 – servicemen. Results. It was proved that the wounded with non-severe combat surgical trauma are 36.5%, severe – 48.9%, extremely severe – 14.6%. Shrapnel wounds were received by 35.3%, bullet wounds – 48.3%, mine injuries – 16.6%. Isolated combat surgical trauma was found in 16.8%, multiple – in 34.3%, combined – in 48.9% of the wounded. Impenetrable combat surgical trauma was diagnosed in 63.7% of the wounded, penetrating into the pleural cavity – in 17.2%, in the abdominal cavity – in 16.0%, in the pelvic cavity – in 3.1%. Conclusions. In the structure of sanitary losses of the surgical profile during the ATO / OOS, the wounded with injuries of the extremities are 56.7%, with injuries of the chest – 10.1%, abdomen – 5.1%, pelvis – 3.0%.
Summary. The results of studying the main damaging factors of servicemen, it is necessary to consider a large number of components of a military conflict. The problem is that in some conflicts there is little data on the loss ratio. Ancient wars were not as familiar as modern ones. Data on ancient wars are sometimes exaggerated, or vice versa, in order to prevent a catastrophe in the military and political sense, they are underestimated. The study of the structure of combat trauma remains a very topical topic. In light of the development of medical and military science, it becomes possible to consider the problem as a multimodal scheme. The aim of a view of the battle in the field of service every hour of the holding of a conflict. Materials and methods for further development. In the peaceful hour of the middle of the civilian population, there are a lot of wounds in the fire, so they have to go for the crime of criminalization of the suspension, as well as in the case of non-merciless vapours on the edge, with the unprotected, unbearable weather in the winter. The results of that discussion. The analysis of scientific information during the ATO / OUF showed that in the structure of sanitary losses of a surgical profile, injuries from ear problems to become 56.7% – 62.6% to the most obvious, isolated character. Conclusions. Clinical-epidemiological and clinical-anatomical pre-diagnoses reported that injuries due to splinter ears of children become 80.4 %, with cultivars — 13.1 %, with minor-explosive — 2.2 % and with explosive injuries.
Summary. The results of studying the main damaging factors of servicemen, it is necessary to consider a large number of components of a military conflict. The problem is that in some conflicts there is little data on the loss ratio. Ancient wars were not as familiar as modern ones. Data on ancient wars are sometimes exaggerated, or vice versa, in order to prevent a catastrophe in the military and political sense, they are underestimated. The study of the structure of combat trauma remains a very topical topic. In light of the development of medical and military science, it becomes possible to consider the problem as a multimodal scheme. The aim of a view of the battle in the field of service every hour of the holding of a conflict. Materials and methods for further development. In the peaceful hour of the middle of the civilian population, there are a lot of wounds in the fire, so they have to go for the crime of criminalization of the suspension, as well as in the case of non-merciless vapours on the edge, with the unprotected, unbearable weather in the winter. The results of that discussion. The analysis of scientific information during the ATO / OUF showed that in the structure of sanitary losses of a surgical profile, injuries from ear problems to become 56.7 % — 62.6 %. to the most obvious, isolated character. Conclusions. Clinical-epidemiological and clinical-anatomical pre-diagnoses reported that injuries due to splinter ears of children become 80.4 %, with cultivars — 13.1 %, with minor-explosive — 2.2 % and with explosive injuries.
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.
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