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Khirurgiia (Mosk) ; (5): 60-6, 2014.
Article in Russian | MEDLINE | ID: mdl-24874226

ABSTRACT

It was done the comparative analysis of treatment results of casualties with open injuries of limbs in emergency situations in peacetime. It was determined that traditional approach of field surgery is unacceptable for this group of casualties. It is connected with limitations of evacuation and high frequency of complications. The developed modified surgical protocol permits not only to provide specialized care to casualties with soft tissue trauma and open fracture of limbs but also to reduce frequency of deep suppuration in 1.9 times. Also it allows to decrease number of dressings for one patient and period of the wound defect preparation to reconstructive plastic surgeries in 2.6 and 1.5 times respectively.


Subject(s)
Extremities , Fractures, Open , Orthopedic Procedures , Soft Tissue Injuries , Suppuration , Surgical Wound Infection , Adult , Aged , Bandages , Child , Emergency Medical Services/methods , Emergency Medical Services/organization & administration , Emergency Medical Services/statistics & numerical data , Extremities/injuries , Extremities/surgery , Female , Fractures, Open/etiology , Fractures, Open/physiopathology , Fractures, Open/surgery , Humans , Male , Mass Casualty Incidents , Orthopedic Procedures/adverse effects , Orthopedic Procedures/instrumentation , Orthopedic Procedures/methods , Outcome and Process Assessment, Health Care , Plastic Surgery Procedures , Soft Tissue Injuries/complications , Soft Tissue Injuries/physiopathology , Soft Tissue Injuries/surgery , Suppuration/etiology , Suppuration/prevention & control , Surgical Wound Infection/diagnosis , Surgical Wound Infection/physiopathology , Surgical Wound Infection/prevention & control , Trauma Severity Indices
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