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EBSCO

https://doi.org/10.14300/mnnc.2019.14151

Results of the clinical use of a new method for surgical treatmen t of weapon in juries of parenchimatous abdominal organs in children

[Surgery]
Igor Babich; Igor Olegovich Bagnovsky;

The prospective study included 23 patients with gunshot wounds of abdominal parenchymal organs aged 8 to 17 years in the period from 2001 to 2018. 11 patients were treated according to the classical method (control group), 12 children were operated according to the method including sparing pneumoextraction of foreign bodies from the parenchymal organs of the abdominal cavity, followed by a one-time stop of bleeding throughout the wound canal (main group). It was found that in the main group of children it was possible to remove up to 92 % of foreign bodies, against 63 % in the control group. In the main group, there was no need for additional expansion of wound channels, which reduced intraoperative blood loss and excluded the use of additional hemostatic methods. That, in turn, reduced the frequency of complications and repeated surgical interventions.The method of treatment of weapon wounds of parenchymal organs offered by us significantly reduced terms of drainage of the abdominal cavity, stay in hospital and rehabilitation. Thus, the new method of treatment of weapon wounds of parenchymal organs, proposed by us, is effective, less traumatic and is a method of choice for gun wounds of the abdominal cavity.м

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Keywords: gun wounds, pneumoextraction of foreign bodies, local hemostasis