دورية أكاديمية
Management of thoracoabdominal gunshot injuries by using minimally invasive surgery at role 2 deployed field hospitals in Ukraine.
| العنوان: | Management of thoracoabdominal gunshot injuries by using minimally invasive surgery at role 2 deployed field hospitals in Ukraine. |
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| المؤلفون: | Lurin I; National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine.; State Institution of Science 'Research and Practical Center of Preventive and Clinical Medicine', State Administrative Department, Kyiv, Ukraine., Vorovskiy O; National Pirogov Memorial Medical University, Vinnytsya, Ukraine., Makarov V; Department of Thoraco-Abdominal Surgery, Military Medical Teaching Center of the Northern Region of Ministry of Defense of Ukraine, Kharkiv, Ukraine.; Department of Surgery #4, Kharkiv National Medical University, Kharkiv, Ukraine., Khoroshun E; Department of Thoraco-Abdominal Surgery, Military Medical Teaching Center of the Northern Region of Ministry of Defense of Ukraine, Kharkiv, Ukraine.; Department of Surgery #4, Kharkiv National Medical University, Kharkiv, Ukraine., Nehoduiko V; Department of Thoraco-Abdominal Surgery, Military Medical Teaching Center of the Northern Region of Ministry of Defense of Ukraine, Kharkiv, Ukraine.; Department of Surgery #4, Kharkiv National Medical University, Kharkiv, Ukraine., Ryzhenko A; National Pirogov Memorial Medical University, Vinnytsya, Ukraine.; Military medical clinical center of the central region, Vinnytsya, Ukraine., Chobey S; Department of Surgery, Uzhgorod National University, Uzhgorod, Ukraine., Gorobeiko M; National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine.; Department of Healthcare, Faculty of Postgraduate Education, Kyiv Agrarian University, Kyiv, Ukraine.; Department of Surgery, Lancet Clinic and Lab, Kyiv, Ukraine., Dinets A; National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine. andrii.dinets@gmail.com.; Department of Healthcare, Faculty of Postgraduate Education, Kyiv Agrarian University, Kyiv, Ukraine. andrii.dinets@gmail.com.; Department of Surgery, Verum Expert Clinic, vul. Demiїvska 13, Kyiv, 03039, Ukraine. andrii.dinets@gmail.com. |
| المصدر: | BMC surgery [BMC Surg] 2024 Jun 14; Vol. 24 (1), pp. 183. Date of Electronic Publication: 2024 Jun 14. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Country of Publication: England NLM ID: 100968567 Publication Model: Electronic Cited Medium: Internet ISSN: 1471-2482 (Electronic) Linking ISSN: 14712482 NLM ISO Abbreviation: BMC Surg Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: London : BioMed Central, [2001- |
| مواضيع طبية MeSH: | Wounds, Gunshot*/surgery , Thoracic Injuries*/surgery , Thoracic Injuries*/diagnosis , Thoracic Surgery, Video-Assisted*/methods , Laparoscopy*/methods , Abdominal Injuries*/surgery , Abdominal Injuries*/diagnosis, Humans ; Ukraine ; Male ; Adult ; Hospitals, Military ; Young Adult ; Treatment Outcome ; Retrospective Studies ; Laparotomy/methods |
| مستخلص: | The Russia-Ukraine war is associated with critical and severe thoracoabdominal injuries. A more specific approach to treating patients with thoracoabdominal injury should also include minimally invasive technologies. It remains unclear about the utility of using video-assisted thoracoscopic surgery (VATS) and laparoscopy in patients with thoracoabdominal injury. The aim of this study was to investigate and evaluate the utility of video-assisted thoracoscopic surgery, laparoscopy as well as magnetic tool applications for the management of severe thoracoabdominal injury in combat patients injured in the ongoing war in Ukraine and treated in the Role 2 deployed hospital. Patients and methods 36 male combat patients thoracoabdominal injury were identified for the study during the first 100 days from February, 24 2022. These individuals were diagnosed with thoracoabdominal GSW in the Role 2 hospital (i.e. deployed military hospital) of the Armed Forces of Ukraine. Video-assisted thoracoscopy surgery (VATS) and laparoscopy with application of surgical magnetic tools were applied with regards to the damage control resuscitation and damage control surgery. Results In 10 (28%) patients, VATS was applied to remove the metal foreign body fragments. Both thoracotomy and laparotomy were performed in 20 (56%) hemodynamically unstable patients. Of these 20 patients, the suturing of the liver was performed in 8 (22%) patients, whereas peri-hepatic gauze packing in 12 (33%) patients. Massive injury to the liver and PI 2.0-3.0 were diagnosed in 2 (6%) patients. Lethal outcome was in 1 (2.8%) patient. Conclusions Thoracoabdominal gunshot injuries might be managed at Role 2 hospitals by using video-assisted thoracoscopy (VATS) and laparoscopy accompanied by surgical magnetic tools. Damage control surgery and damage control resuscitation must be applied for patients in critical and severe conditions. (© 2024. The Author(s).) |
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| فهرسة مساهمة: | Keywords: Abdomen war injury; Chest war injury; Minimally invasive surgery; Russia-Ukraine war; Russo-ukrainian war; Thoracoabdominal injury; Video-assisted thoracoscopy |
| تواريخ الأحداث: | Date Created: 20240614 Date Completed: 20240615 Latest Revision: 20240618 |
| رمز التحديث: | 20240618 |
| مُعرف محوري في PubMed: | PMC11177506 |
| DOI: | 10.1186/s12893-024-02475-3 |
| PMID: | 38877409 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 1471-2482 |
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| DOI: | 10.1186/s12893-024-02475-3 |