SURGICAL TREATMENT OF VICTIMS WITH MINE AND EXPLOSIVE INJURIES DURING MILITARY ACTIONS

Summary. Mine-explosive injury is a gunshot combined multiple that occurs in person as result of the impact factors explosion engineering, mine ammunition and accompanied by deep widespread tissue damage contusion.
 The purpose work to analyze methods surgical treatment patients with mine-explosive injuries conditions martial law.
 Materials methods. results 64 were analyzed, 27 (42.2 %) women, 37 (57.8 men, who being treated at Dergachiv Central Hospital. All victims underwent interventions depending on location injury, its nature, severity patient, development traumatic or hemorrhagic shock.
 Results their discussion. Given most frequent type wounds various localization, common intervention was wounds. scope depended depth size wound, well nature damage. Surgical manipulations chest performed eliminate pneumothorax (pneumohydrothorax), pleural puncture drainage established. If Rouvilois-Gregoir test positive, thoracotomy followed suturing lung wound. Invasive diagnostic methods, laparocentesis laparoscopy for suspicion organs abdominal cavity, help which cavity excluded. use such situations, although value lower than video laparoscopy, allows determine pathological content sufficient detect life-threatening consequences injuries, example, intra-abdominal bleeding.
 Conclusions. Victims explosive lesions require large number anatomical areas. When providing assistance an one should be guided principles “damage control”, determining amount based vital indications.