«DAMAGE CONTROL» – CHOICE TECHNOLOGY FOR REDUCTION OF MORTALITY AND COMPLICATIONS AFTER MILITARY SURGICAL TRAUMA

  • Іgor Trutyak Lviv National Medical University, Lviv
  • Ivan Hayda Military Medical Clinical Center of the Western Region, Lviv
  • Grygoriy Prochorenko Military Medical Clinical Center of the Western Region, Lviv
  • Arkadiy Selmensky Military Medical Clinical Center of the Western Region, Lviv
  • Nazar Kalynovych Lviv National Medical University, Lviv
Keywords: military surgical trauma, damage control

Abstract

Aim. Analyze the results of the treatment and the passing of traumatic desease in the injured patients, as a result of military clashes. And to substantiate to use of stage therapy in a modern military surgical trauma. Material and methods. The results of the analysis of treatment injured and wounded patients in a military confl ict in the East of Ukraine. Results and discussion. Surgical tactics in three stages – «damage control» is used in 12 wounded patients. In 4 patients, the abdominal cavity was re-opened to control hemostasis in 30-60 minutes. Since their condition was stable, they corrected the damage and completed the operation. In 8 other patients, relaparotomy was performed after 24 hours. 1 wounded died of heavy combined damage and refractory shock. Conclusions. The technology of damage control is a method of choice for wounded and injured with profuse bleeding, in a state of traumatic shock and with violations of vital functions of the body. Addition to the «damage control» technology to urgent measures at the basic level of provision of medical care (tactical medicine), the implementation of the surgical interventions and intensive care according to the severity of the injury and the level of medical care and the timely evacuation of the military medical centers creates a consistent system of emergency care and is a guarantee of reduction mortality and complications during a military surgical trauma.

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Published
2017-12-29
How to Cite
1.
Trutyak І, Hayda I, Prochorenko G, Selmensky A, Kalynovych N. «DAMAGE CONTROL» – CHOICE TECHNOLOGY FOR REDUCTION OF MORTALITY AND COMPLICATIONS AFTER MILITARY SURGICAL TRAUMA. Proc Shevchenko Sci Soc Med Sci [Internet]. 2017Dec.29 [cited 2022Jul.2];50(2):55-3. Available from: https://mspsss.org.ua/index.php/journal/article/view/106