Vol 337, No 5 (2016)

The article presents a comparative characteristics of domestic and foreign approaches to the static analysis of losses of surgical profile in military conflicts. The ways of improvements of statistical materials on military losses for improvement of surgical aid delivery are mapped out. The authors proved the need to establish the register of combat trauma.

The article describes the experience of reconstructive and restorative operative treatment of patients with defects of the skin of the fingers at the daily surgical hospital. It is shown that surgeons applying standard instruments and having additional training in hand surgery, using a technique non - free skin plastic flap on a temporary pedicle and using inpatient technology, get cosmetic and functional results compared to those of treatment in hospitals. Cited in the article data on the direct and separate treatment outcomes, quality of life of patients, the estimated non-specific and organ-specific method, clearly show that non-free skin plastic flap on a temporary pedicle - a reliable and effective method of restoration of the skin fingers defects which can be accompanied wit the use of resource-saving technologies in health care.

One of the main conditions for successful completion of liquidation tasks in the consequences of the accident at the Chernobyl nuclear power plant is of the swipe-effective sanitary and anti-epidemic (preventive) measures. The main directions of medical services in this area include the prevention of acute radiation injuries of personnel and distant effects of ionizing radiation, prevention of epidemics of acute intestinal, respiratory and other infections in the armed forces, pro-prevention of injuries, poisonings, accidents. Medical preventive measures were performed by the Medical Service, which took part in liquidation of consequences of military units, the specialists of the Operational Group of Civil Defense, the sanitary-epidemiological units and institutions formed the Belarusian, Kiev and Odessa Military District. Sanitary-epidemiological (preventive) activities carried out during the accident at the Chernobyl nuclear power plant, provided the sanitary-epidemiological well-being of the troops, which allowed to perform their tasks.

The article analyses the experience of medical support of the Red Army troops during the Great Patriotic War. The data characterizing particular forms and methods of work of the medical service of different fronts in the dynamics of the operations in different periods of the war is given. Taken in the Red Army’s principles of medical support and the organizational and staff structure of the health service as a whole showed its viability in various conditions of defensive and offensive operations. At the same time, the activities of the medical service needed to make adjustments on the basis of the provisions of the unified military field medical doctrine. A system of medical and evacuation support was created, successfully operated and was improved during the war. The lessons and experiences of medical support in the Great Patriotic War, its comparison with modern problems of the military medicine make it possible to identify the direction of improvement of activities of the medical service in the performance of modern problems by the Armed Forces.

During the Great Patriotic war (1941-1945) medical supply experts of the 320th Central warehouse sanitary solved complex problems for the regular and complete provision with medical property guide action by the army, the formation of complete basic equipment, service of medical transport and medical equipment. The experience gained in providing acting army allowed in the post-war period progressively develop functioning of the system of medical supplies of troops (forces), successfully and smoothly carried out in the framework of its organizational planning and other activities.

The article is a report on the conference «Innovative methods of treatment of cardiac patients in a multi-hospital», which took place at the 3rd Central Military Clinical Hospital n.a. A.A.Vishnevskiy and dedicated to the 40th anniversary of the cardiology hospital center. The reports covered achievements, the latest developments introduced into the practice of medical and diagnostic work of the hospital and its affiliates with patients of cardiovascular profile. The advantages of a multidisciplinary hospital in the provision of specialized high-tech medical care difficult, multimorbid patients are showed. To report the possibility of co-temporal methods of effective treatment of a variety of cardiovascular morbidity in military personnel.