Experience in staged surgical treatment of a victim with multiple injuries after being hit by heavy tracked equipment

P. E. Krainyukov; Крайнюков П. Е.; N. V. Pogosov; Погосов Н. В.; D. Yu. Kim; Ким Д. Ю.; M. V. Belov; Белов М. В.; E. V. Kondakov; Кондаков Е. В.; Ya. S. Kolbasin; Колбасин Я. С.; A. S. Vorobyova; Воробьева А. С.

doi:10.52424/00269050_2024_345_11_75

Experience in staged surgical treatment of a victim with multiple injuries after being hit by heavy tracked equipment

Authors: Krainyukov P.E.¹^,2, Pogosov N.V.¹, Kim D.Y.¹, Belov M.V.¹, Kondakov E.V.³, Kolbasin Y.S.¹, Vorobyova A.S.¹
Affiliations:
1. The P.V.Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation
2. The Patrice Lumumba Peoples’ Friendship University of Russia of the Ministry of Education and Science of the Russian Federation
3. The N.I.Pirogov National Medical and Surgical Center of the Ministry of Health of the Russian Federation
Issue: Vol 345, No 11 (2024)
Pages: 75-77
Section: Brief articles
URL: https://journals.eco-vector.com/0026-9050/article/view/641872
DOI: https://doi.org/10.52424/00269050_2024_345_11_75
ID: 641872

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Abstract

A clinical case of successful staged surgical treatment of a victim who received multiple injuries in combat conditions because of an armored vehicle hitting the abdomen, pelvis, and lower extremities is considered. The injuries were accompanied by a prolapse of the rectum, traumatic detachment of the soft tissues of the perineum, right gluteal region, and right thigh. A negative pressure system was used. At the end of treatment, the patient showed no signs of dysfunction of the pelvic organs. The outcome is complete recovery. This treatment option for a traumatic detachment of soft tissue of the perineum allows wound healing to be achieved in the shortest possible time without removing a colostomy and, accordingly, does not require additional surgical interventions.

Keywords

combat injury, traumatic detachment of soft tissues, motor vehicle injury, staged surgical treatment

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