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  • 1
    Online Resource
    Online Resource
    Retrieval of ferromagnetic fragments from the lung using video-assisted thoracoscopic surgery and magnetic tool: a case report of combat patient injured in the war in Ukraine
    Springer Science and Business Media LLC ; 2023
    In:  International Journal of Emergency Medicine Vol. 16, No. 1 ( 2023-08-24)
    Details
    In: International Journal of Emergency Medicine, Springer Science and Business Media LLC, Vol. 16, No. 1 ( 2023-08-24)
    Abstract: Gunshot wounds injury to the thorax is common in armed conflicts or war, including the war of Russia against Ukraine. Injury to the chest is associated with a high mortality or physical disability due to damage to the lungs, heart, and major vessels. The aim of this report is to demonstrate a case of successful management of severe gunshot injury to the lungs using video-assisted thoracoscopic surgery and magnetic tool for a combat patient injured in the war in Ukraine. Case presentation A 51-year-old soldier of the Armed Forces of Ukraine received a gunshot injury due to shelling from artillery strikes in the Donbas battlefield area. After evacuation to Level II, a forward surgical team performed primary surgical debridement. Two hours after the injury, the patient was evacuated to the Level IV of medical care (Kharkiv). At Level IV, a CT scan showed penetrating gunshot wounds to the left part of the chest with injury to the upper lobe of the left lung with the presence of the 2 metal fragments of the artillery projectile with the size of 2.5 × 2.0 cm and 1.0 × 1.0 cm. These two fragments were removed by using video-assisted thoracoscopic surgery (VATS) using the inlet gunshot hole in the left lateral chest area, as well as the assistance of a magnetic tool. Conclusions VATS and magnetic technologies should be considered for hemodynamically stable combat patients with a gunshot injury to the lungs in the ongoing war. Each combat patient could be treated by individualized approach such as using the wound canal as a scope port after primary surgical debridement of the wound and antibiotic prophylaxis.
    Type of Medium: Online Resource
    ISSN: 1865-1380
    URL: Article
    DOI: 10.1186/s12245-023-00527-8
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2023
    detail.hit.zdb_id: 2411462-5
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  • 2
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    Telemedicine support aids lower limb reconstruction after combat injury in Ukraine
    Oxford University Press (OUP) ; 2023
    In:  Journal of Surgical Case Reports Vol. 2023, No. 7 ( 2023-07-03)
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    In: Journal of Surgical Case Reports, Oxford University Press (OUP), Vol. 2023, No. 7 ( 2023-07-03)
    Abstract: Since the destructive and illegal full-scale invasion of Ukraine in February 2022, caring for the victims of war trauma has been an essential function of Ukrainian clinicians [ 1, 2]. The authors present a case where using novel dynamic digital thermography (DDT), combined with international telemedicine support, contributed to saving the lower limb of an injured Ukrainian soldier. A male soldier in his 30s presented with a ‘through and through’ fragmentation wound to the right thigh from an artillery shell exploding nearby. After initial haemorrhage control and resuscitation, the patient was transferred to a tertiary hospital. Using telemedicine support, reconstructive surgery was planned and performed successfully using a perforating flap technique. DDT was used pre-operatively to identify a perforating vessel and post-operatively to ensure perfusion of the flap. The patient made a good recovery and was discharged 14 d post-operatively.
    Type of Medium: Online Resource
    ISSN: 2042-8812
    URL: Article
    DOI: 10.1093/jscr/rjad403
    Language: English
    Publisher: Oxford University Press (OUP)
    Publication Date: 2023
    detail.hit.zdb_id: 2580919-2
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  • 3
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    Personalized approach to the correction of stress-related disorders in soldiers under a full-scale invasion
    Public Organization Association of Neurologists, Psychiatrists and Narcologists of Ukraine ; 2022
    In:  Ukrains'kyi Visnyk Psykhonevrolohii , No. Volume 30, issue 2 (111) ( 2022-8-29), p. 50-53
    Details
    In: Ukrains'kyi Visnyk Psykhonevrolohii, Public Organization Association of Neurologists, Psychiatrists and Narcologists of Ukraine, , No. Volume 30, issue 2 (111) ( 2022-8-29), p. 50-53
    Abstract: War is the most powerful psychosocial stressor. Combat stress exerts a powerful traumatic effect on every military, which is the main reason for the development of post-traumatic stress disorders, acute stress disorders and combat mental injuries. Based on the data obtained during our study, it was developed and tested a personalized program for the correction of stress-related disorders and the rehabilitation of persons affected by combat stress with the differentiated use of psychopharmacotherapy, psychotherapy and psychoeducation methods. Against the background of carrying out the develo ped system of therapy and rehabilitation, the quali ty of life index in the main group by all scales in- creased by an ave rage of 42.1 ± 1.4 %, in the control group by an average of 31.4 ± 1.3 %. Thus, as a result of the implementa- tion of the indicated personalized program for the correction of stress-related disorders, an improvement in the quality of medical care for military personnel in modern conditions is expected.
    Type of Medium: Online Resource
    ISSN: 2079-0325
    URL: Issue
    URL: Journal
    URL: Article
    DOI: 10.36927/2079-0325-V30-is2-2022
    DOI: 10.36927/2079-0325
    DOI: 10.36927/2079-0325-V30-is2-2022-8
    Language: Ukrainian
    Publisher: Public Organization Association of Neurologists, Psychiatrists and Narcologists of Ukraine
    Publication Date: 2022
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  • 4
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    Online Resource
    Management of thoracoabdominal gunshot injuries by using minimally invasive surgery at role 2 deployed field hospitals in Ukraine
    Springer Science and Business Media LLC ; 2024
    In:  BMC Surgery Vol. 24, No. 1 ( 2024-06-14)
    Details
    In: BMC Surgery, Springer Science and Business Media LLC, Vol. 24, No. 1 ( 2024-06-14)
    Abstract: The Russia-Ukraine war is associated with critical and severe thoracoabdominal injuries. A more specific approach to treating patients with thoracoabdominal injury should also include minimally invasive technologies. It remains unclear about the utility of using video-assisted thoracoscopic surgery (VATS) and laparoscopy in patients with thoracoabdominal injury. The aim of this study was to investigate and evaluate the utility of video-assisted thoracoscopic surgery, laparoscopy as well as magnetic tool applications for the management of severe thoracoabdominal injury in combat patients injured in the ongoing war in Ukraine and treated in the Role 2 deployed hospital. Patients and methods 36 male combat patients thoracoabdominal injury were identified for the study during the first 100 days from February, 24 2022. These individuals were diagnosed with thoracoabdominal GSW in the Role 2 hospital (i.e. deployed military hospital) of the Armed Forces of Ukraine. Video-assisted thoracoscopy surgery (VATS) and laparoscopy with application of surgical magnetic tools were applied with regards to the damage control resuscitation and damage control surgery. Results In 10 (28%) patients, VATS was applied to remove the metal foreign body fragments. Both thoracotomy and laparotomy were performed in 20 (56%) hemodynamically unstable patients. Of these 20 patients, the suturing of the liver was performed in 8 (22%) patients, whereas peri-hepatic gauze packing in 12 (33%) patients. Massive injury to the liver and PI 2.0–3.0 were diagnosed in 2 (6%) patients. Lethal outcome was in 1 (2.8%) patient. Conclusions Thoracoabdominal gunshot injuries might be managed at Role 2 hospitals by using video-assisted thoracoscopy (VATS) and laparoscopy accompanied by surgical magnetic tools. Damage control surgery and damage control resuscitation must be applied for patients in critical and severe conditions.
    Type of Medium: Online Resource
    ISSN: 1471-2482
    URL: Article
    DOI: 10.1186/s12893-024-02475-3
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2024
    detail.hit.zdb_id: 2050442-1
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