[Prevention of venous thromboembolic complications in firearm injury]. / Profilaktika venoznykh tromboémbolicheskikh oslozhnenii pri boevoi ognestrel'noi travme.

Prevention of venous thromboembolic complications in wounded is a complex problem which has not yet been fully resolved throughout the world. Current state of venous thrombosis prevention in wounded in different countries and certain ways of its improvement are analyzed in the article.

[Multi-stage surgical treatment of woundeds with combined thermomechanic injuries in local armed conflict]. / Programmiruemoe mnogoetapnoe khirurgicheskoe lechenie ranenykh s kombinirovannymi termomekhanicheskimi povrezhdeniyami v lokal'nom vooruzhennom konflikte.

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.

[Peculiarities of surgical treatment of wounded with combined thermomechanical injuries of the lower extremities under conditions of counter-terrorist operation].

Peculiarities of surgical treatment of wounded with combined thermomechanical injuries of the lower extremities under conditions of counter-terrorist operation. The authors analysed results of treatment of 67 wounded with injuries of the extremities, combined with burns. Two therapeutic approaches to surgical treatment were used. The first therapeutic approach (Early total Care - ETC) involved providing of a complete surgical care (the whole body is examined) during the first emergency operation and was used in 24 (35,8%) injured. The second therapeutic approach implied a differentiated approach to the treatment of wounded and treatment of injuries and was used in 43 (64,2%) patients. If arterial blood pressure was above 90 mm Hg, ETC approach was used in 19 (28,4%) wounded. If systolic blood pressure was less than 90 mm Hg programmable surgical approach Damage Control Surgery (DCS) was used in 24 (35,8%) patients. The use of differential surgical approach has led to increase in the number of complications from 45,8 to 55,8% (p=0,044) and decrease in mortality c 12,5 to 9,3% (p=0,039) compared with the group of wounded, where was used only traditional approach of single-stage treatment.

[Surgical strategy in bullet wound of the thorax accompanied by shock].

The article analyzes the experience of treatment of bullet penetrating wounds of the thorax accompanied by shock in 131 armed forces personnel of internal army and officers of the Ministry of Home Affairs of Russia during contra-terrorist operations on the North Caucasus at the period from 2000 to 2011. The postoperative lethality was reduced from 22.7% to 10.8% due to usage of the strategy which was directed to decrease of surgical aggression in 65 patients.

[Morphofunctional features of the gastric stump after different kinds of resection for ulcer disease]. / Morfofunktsional'nye osobennosti kul'ti zheludka posle razluchnykh vidov ego rezektsii pri iazvennoi bolezni.

Morphofunctional alterations in the stomach and its stump after resection of 2/3 of the stomach in modifications of Billroth-1, Hofmeister-Finsterer and Roux operations were analyzed in 127 patients with ulcer disease. Chronic experiments were carried out in 5 mongrel dogs. A comparative analysis has revealed functional and organic advantages of gastroenteroanastomoses after Roux and Billroth-I. The Roux resection is an effective operative intervention in patients with ulcer disease of the stomach, for chronic duodenal obstruction, and in patients with post- gastroresectional pathology. It has an anti-dumping effect, provides portional emptying of the gastric stump, improves the life quality of the patients.