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Dubrov V.

Moskovskiĭ gosudarstvennyĭ universitet im. M.V. Lomonosova

Koltovich A.P.

Main Military Clinical Hospital of the Internal Troops, Ministry of Internal Affairs of the Russian Federation, Moscow region, Balashikha

Ivchenko D.R.

Military Medical Department of the General Command of the Internal Troops, Ministry of Internal Affairs of the Russian Federation, Moscow, Russia

Khanin M.Iu.

Moskovskiĭ gosudarstvennyĭ universitet im. M.V. Lomonosova

Kukunchikov A.A.

Main Military Clinical Hospital of the Internal Troops, Ministry of Internal Affairs of the Russian Federation, Moscow region, Balashikha

Paltyshev I.A.

Main Military Clinical Hospital of the Internal Troops, Ministry of Internal Affairs of the Russian Federation, Moscow region, Balashikha

Gerejkhanov F.G.

Main Military Clinical Hospital of the Internal Troops, Ministry of Internal Affairs of the Russian Federation, Moscow region, Balashikha

Polekhov P.Yu.

Main Military Clinical Hospital of the Internal Troops, Ministry of Internal Affairs of the Russian Federation, Moscow region, Balashikha

Multi-stage surgical treatment of woundeds with combined thermomechanic injuries in local armed conflict

Authors:

Dubrov V., Koltovich A.P., Ivchenko D.R., Khanin M.Iu., Kukunchikov A.A., Paltyshev I.A., Gerejkhanov F.G., Polekhov P.Yu.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2015;(10): 43‑51

DOI: 10.17116/hirurgia20151043-51

Views: 1198

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To cite this article:

Dubrov V, Koltovich AP, Ivchenko DR, et al. . Multi-stage surgical treatment of woundeds with combined thermomechanic injuries in local armed conflict. Pirogov Russian Journal of Surgery. 2015;(10):43‑51. (In Russ.)
https://doi.org/10.17116/hirurgia20151043-51

Подписка 2025 (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
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Risk stra­tification of mortality in patients with thermal injury based on the Revi­sed Frank Index. Russian Journal of Anesthesiology and Reanimatology. 2024;(2):32-38

Aim. To improve the results of surgical treatment of woundeds with combined thermomechanic injuries in local armed conflict. Material and methods. It was analyzed treatment of 93 victims with thermomechanic injuries. In 29 (31.2%) aptients only Early Total Care protocol (ETC) was used up to 2001. These victims received complete surgical care. Since 2002 diffirentiated approach of multi-stage surgical treatment (Damage Control Surgery) has been applied. ETC tactics was used if systolic blood pressure was more than 90 mm Hg (30 woundeds, 32.2%). DCS protocol was preferred in case of blood pressure less than 90 mm Hg or multiple-organ failure (34 patients, 36.6%). Results. Diffirentiated surgical approach decreases mortality rate from 13.8% to 7.8% (p=0.453) compared with group of conventional one-stage care.

Keywords:

combined thermomechanic injuries
burns
multi-stage surgical treatment

Authors:

Dubrov V.

Moskovskiĭ gosudarstvennyĭ universitet im. M.V. Lomonosova

Koltovich A.P.

Main Military Clinical Hospital of the Internal Troops, Ministry of Internal Affairs of the Russian Federation, Moscow region, Balashikha

Ivchenko D.R.

Military Medical Department of the General Command of the Internal Troops, Ministry of Internal Affairs of the Russian Federation, Moscow, Russia

Khanin M.Iu.

Moskovskiĭ gosudarstvennyĭ universitet im. M.V. Lomonosova

Kukunchikov A.A.

Main Military Clinical Hospital of the Internal Troops, Ministry of Internal Affairs of the Russian Federation, Moscow region, Balashikha

Paltyshev I.A.

Main Military Clinical Hospital of the Internal Troops, Ministry of Internal Affairs of the Russian Federation, Moscow region, Balashikha

Gerejkhanov F.G.

Main Military Clinical Hospital of the Internal Troops, Ministry of Internal Affairs of the Russian Federation, Moscow region, Balashikha

Polekhov P.Yu.

Main Military Clinical Hospital of the Internal Troops, Ministry of Internal Affairs of the Russian Federation, Moscow region, Balashikha

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