Specialized surgical care for children (victims of the earthquake) with open injuries

Roshal' L.M.; Mitish V.A.; Medinskiĭ P.V.

doi:https://doi.org/

Roshal' L.M.

Nauchno-issledovatel'skiĭ institut neotlozhnoĭ detskoĭ khirurgii i travmatologii, Moskva

Mitish V.A.

Institut khirurgii im. A.V. Vishnevskogo MZ RF;
ndokrinologicheskiĭ nauchnyĭ tsentr Minzdrava Rossii;
Kafedra meditsiny katastrof Rossiĭskogo universiteta druzhby narodov, Moskva

Medinskiĭ P.V.

Nauchno-issledovatel'skiĭ institut neotlozhnoĭ detskoĭ khirurgii i travmatologii, Moskva

Specialized surgical care for children (victims of the earthquake) with open injuries

Authors:

Roshal' L.M., Mitish V.A., Medinskiĭ P.V.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2014;(1): 59‑63

Read: 964 times

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Roshal' LM, Mitish VA, Medinskiĭ PV. Specialized surgical care for children (victims of the earthquake) with open injuries. Pirogov Russian Journal of Surgery. 2014;(1):59‑63. (In Russ.)

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)

Использование инфографики авторами научных работ

Close metadata

Abstract:

The article presents the authors' experience of providing specialized surgical care for 197 children who had been affected by the earthquake in Pakistan (2005), Indonesia (2006 and 2009) and Haiti (2010). All victims had open injuries of soft tissues and bones. The article recites the strategy and principles of work organization of the mobile team of specialists from the Research Institute of Clinical and Research Institute of Urgent Pediatric Surgery and Traumatology in disaster areas. It includes the creation of a center for specialized surgical care for children, consultative work in all regional hospitals to where victims are initially evacuated, transportation and concentration of children with the most severe injuries in a specialized center. The basic principles of interaction with the central and local public health authorities and medical staff of hospitals were developed. The main characteristics of such injuries and their complications were defined as well. Mistakes made by the local and international surgical teams at the stages of primary and specialized surgical care were described. The effectiveness of the applied strategy of active surgical treatment of open injuries of soft tissue and bones complicated by surgical infection has been analyzed.

Keywords:

earthquake

wounds

specialized surgical care

plastic and reconstructive surgery

Authors:

Roshal' L.M.

Nauchno-issledovatel'skiĭ institut neotlozhnoĭ detskoĭ khirurgii i travmatologii, Moskva

Mitish V.A.

Institut khirurgii im. A.V. Vishnevskogo MZ RF;
ndokrinologicheskiĭ nauchnyĭ tsentr Minzdrava Rossii;
Kafedra meditsiny katastrof Rossiĭskogo universiteta druzhby narodov, Moskva

Medinskiĭ P.V.

Nauchno-issledovatel'skiĭ institut neotlozhnoĭ detskoĭ khirurgii i travmatologii, Moskva

Close metadata

References:

Bokeriya L.А., Gudkova R.G. Serdechno-sosudistaya khirurgiya - 2008. Bolezni i vrozhdennye anomalii sistemy krovoobrashheniya [Cardiovascular Surgery - 2008 Diseases and congenital malformations of the circulatory system]. M:NTSSSKH im. А.N. Bakuleva RАMN 2008. (in Russian)
Bokeriya L.А., Sukhanov S.G., Katkov А.I., Pirtskhilashvili Z.K. KHirurgiya patologicheskoj izvitosti brakhitsefal'nykh arterij [Surgery of pathological tortuosity of brachycephalic arteries].Perm': Kursiv 2006. (in Russian)
Gavrilenko А.V., Аbramyan А.V., Kuklin А.V. KHirurgicheskoe lechenie patologicheskoj izvitosti sonnykh arterij. Аktual'nye voprosy sovremennoj sosudistoj khirurgii [Surgical treatment of pathological tortuosity of the carotid arteries. Actual problems of current vascular surgery]. SPb 2011; 16. (in Russian)
Eremeev V.P. KHirurgicheskoe lechenie patologicheskikh izvitostej, peregibov i petel' sonnykh arterij [Surgical treatment of pathological crimps, kinks and loops of the carotid arteries]. Аngiol i sosud khir 1998; 4: 2: 82-94. (in Russian)
Karimov SH.I., Tursunov B.Z., Sunnatov R.D. Diagnostika i khirurgicheskoe lechenie patologicheskoj deformatsii sonnykh arterij [Diagnosis and surgical treatment of pathological deformation of the carotid arteries]. Аngiol i sosud khir 2010; 16: 4: 108-115. (in Russian)
Paulyukas P.А., Barkauskas EH.M. KHirurgicheskaya tekhnika pri vypryamlenii petel' vnutrennikh sonnykh arterij [Surgical technique in straightening of loops of internal carotid arteries]. KHirurgiya 1989; 12: 12-18. (in Russian)
Pokrovskij А.V. Klinicheskaya angiologiya. Rukovodstvo dlya vrachej [Clinical Angiology. Guide for Physicians]. V dvukh tomakh. M 2004; 1: 734-804. (in Russian)
Pokrovskij А.V., Beloyartsev D.F., Timina I.E., Аdyrkhaev Z.А. Kogda nuzhno operirovat' patologicheskuyu deformatsiyu vnutrennej sonnoj arterii? [When surgical correction of pathological deformation of the internal carotid artery is necessary?] Аngiol i sosud khir 2010; 16: 4: 116-122. (in Russian)
Pokrovskij А.V., Beloyartsev D.F., Аdyrkhaev Z.А. Neposredstvennye rezul'taty rekonstruktivnykh operatsij pri patologicheskoj deformatsii vnutrennej sonnoj arterii [The immediate results of reconstructive surgery for pathological deformation of the internal carotid artery]. Аngiol i sosud khir 2011; 17: 4: 91-98. (in Russian)
Skvortsova V.I. Snizhenie zabolevaemosti, smertnosti i invalidnosti ot insul'tov v Rossijskoj Federatsii [Reduction of morbidity, mortality and disability from stroke in the Russian Federation]. M 2008; 5-6. (in Russian)
SHojkhet YA.N., KHorev N.G., Kulikov V.P. Patologicheskaya izvitost' vnutrennej sonnoj arterii i ee khirurgicheskoe lechenie [Kinking of the internal carotid artery and its surgical treatment]. Probl klin med 2005; 1: 80-90. (in Russian)
SHurakova А.B., Karmazanovskij G.G. Beskontrastnaya magnitno-rezonansnaya angiografiya [Non-contrast magnetic resonance angiography]. M: Izdatel'skij dom Vidar-M 2011;2-7. (in Russian)
Ballotta Е., Abbruzzese Е., Thiene G. et al. The elongation of the internal carotid artery: early and long-term results of patients having surgery compared with unoperated controls. Ann Vasc Surg 1997; 11: 2: 120-128.
Carcoforo P., Rocca T., Navarra G. et al. Morphologic anomalies of the extracranial internal carotid artery. Our experience Minerva Cardioangiol 1997; 45: l-2: 37-41.
Illuminati G., Francesco G., Calio et al. Revascularization of the Internal Carotid Artery for Isolated, Stenotic, and Symptomatic Kinking Arch Surg 2003; 138: 192-197.
Illuminati G., Ricco J.B., Calio F.G. et al. Results in a consecutive series of 83 surgical corrections of symptomatic stenotic kinking of the internal carotid artery. Surgery 2008; 143: l: 134-139.
La Barbera G., La Marca G., Martino et al. Kinking, coiling, and tortuosity of extracranial internal carotid artery: is it the effect of a metaplasia? Surg Radiol Anat 2006; 28: 6: 573-580.
Mumoli N., Cei M. Asimptomatic carotid kicking. Circ J 2008;72: 4: 682-683.
Quattlebaum J.K. Jr., Wade J.S., Whiddon C.M. Stroke associated with elongation and kinking of the carotid artery: long-term follow-up. Ann Surg 1973; 177: 5:572-579.
Van Damme H., Gillain D., Désiron Q. et al. Kinking of the internal carotid artery: clinical significance and surgical management. Acta Chir Belg l996; 96: l: 15-22.