Damage Control Surgery in burn surgery with combined gunshot injuries

H.Ye. Samolienko, P.H. Kondratenko, S.O. Zharikov, O.V. Andrieiev, D.M. Syniepupov

Abstract


Burn injury differs from other types of trauma by the apparent lack of urgency for treatment. In order to limit physio­logical damage and multiple organ dysfunction syndrome, the management of the burn wound must be immediate and aggressive. When associated with other battle trauma, major burn injury has a detrimental effect on morbidity and mortality, and surgical management of both aspects of a patient’s injuries are altered. The use of differentiated surgical approaches led to a reduction in complications from 23.5 to 11.8 % (p = 0.453) compared with the group, who only used the traditional tactics of one-stage elimination of all injuries.


Keywords


battle injury; burn surgery; Damage Control Surgery

References


Козинець Г.П. Сучасне визначення сепсису та септичного шоку у хворих з глибокими поширеними опіками / Г.П. Козинець, О.Ю. Сорокіна, С.В. Слєсаренко, Ж.В. Філіп // Хірургія України. — 2017. — № 1. — С. 109-117.

Нагайчук В.І. Сучасні підходи до надання допомоги хворим з опіками / В.І. Нагайчук // Мистецтво лікування. — 2010. — № 5(71). — С. 24-27.

Palmieri T.L., Jackson W., Greenhalgh D.G. Benefits of early tracheostomy in severely burned children // Crit. Care Med. — 2002. — № 30(4). — Р. 922-4.

Slutsky A.S. Non-conventional methods of ventilation // Am. Rev. Respirat. Dis. — 1988. — № 138. — Р. 175-83.

Gomez M., Logsetty S., Fish J.S. Reduced blood loss during burn surgery // J. Burn. Care Rehabil. — 2001. — № 22(2). — Р. 111-7.

Sorensen B. Management of burns occurring as mass casualties after nuclear explosion // Burns. Includ. Thermal. Inj. — 1979. — № 6. — Р. 33-6.

Ivy M.E., Atweh N.A., Palmer J. et al. Intra-abdominal hypertension and abdominal compartment syndrome in burn patients // J. Trauma. — 2000. — № 49. — Р. 387-91.

Latenser B.A., Kowal-Vern A., Kimball D. et al. A pilot study comparing percutaneous decompression with decompressive laparotomy for acute abdominal compartment syndrome in thermal injury // J. Burn. Care Rehabil. — 2002. — № 23(3). — Р. 190-5.

Mlcak R.P., Buffalo M.C. Pre-hospital management, transportation, and emergency care / Ed. by Herndon D.N. // Total Burn Сare. — WB Saunders, 2002.

Лікування поранених з дефектами тканин кінцівок / О.В. Борзих, А.М. Лакша, В.Г. Шипунов [та ін.] // Проблеми травматології та остеосинтезу. — 2015. — № 1(1). — С. 10-13.




DOI: https://doi.org/10.22141/1997-2938.4.35.2017.118889

Refbacks

  • There are currently no refbacks.


Copyright (c) 2018 UKRAINIAN JOURNAL OF SURGERY

Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 International License.

 

© Publishing House Zaslavsky, 1997-2018

 

   Seo анализ сайта