Negative pressure wound therapy in a patient with an extensive soft tissue defect of the shoulder after a mine-blast injury
P. E. Krainyukov,
D. Sh. Salimov,
A. N. Chesnakov,
K. N. Efremov,
A. A. Rodina,
E. P. Krainyukov,
Ya. S. Kolbasin,
M. V. Belov https://doi.org/10.17238/2072-3180-2026-2-171-177
Abstract
Introduction. Contemporary combat trauma surgery is characterized by a high incidence of extensive soft tissue defects resulting from gunshot and blast injuries, which underscores the relevance of developing and refining surgical treatment modalities for this patient population. The absence of standardized algorithms for managing patients with extensive soft tissue defects during the stages of treatment selection and defect reconstruction creates substantial challenges in clinical practice and underscores the necessity of an individualized approach. The authors present a clinical case of successful application of negative pressure wound therapy in the comprehensive surgical management of a patient with a severe combined shrapnel injury to the upper extremity and an extensive soft tissue defect of the shoulder.
Description of the clinical case. This case report describes combat trauma secondary to a severe combined shrapnel injury to the upper extremity, characterized by a comminuted gunshot fracture of the proximal humerus (type C1), axillary vein injury, and an extensive, massive soft tissue defect of the anterior shoulder, further complicated by a protracted wound healing course and the onset of traumatic illness.
About the Authors
P. E. Krainyukov
Central Military Clinical Hospital named after P. V. Mandrykа of the Ministry of Defense of the Russian Federation; Federal State Autonomous Educational Institution of Higher Education "Peoples Friendship University of Russia"
Russian Federation
Russian Federation
Pavel E. Krainyukov – Head of the P.V. Mandryk Central Military Clinical Hospital of the Russian Ministry of Defense; Major General of Medical Service, Corresponding Member of the Russian Academy of Sciences, Doctor of Medical Sciences, Professor, Doctor of Military Sciences, Professor of the Department of Hospital Surgery with a Course in Pediatric Surgery at the Medical Institute of the Peoples' Friendship University of Russia.
107014, Moscow, Bolshaya Olenya Street, 8A; Miklukho-Maklaya str., 6, Moscow, 117198
D. Sh. Salimov
Central Military Clinical Hospital named after P. V. Mandrykа of the Ministry of Defense of the Russian Federation; Federal State Autonomous Educational Institution of Higher Education "Peoples Friendship University of Russia"
Russian Federation
Russian Federation
Dmitriy Sh. Salimov – Head of the Surgery Department at the P.V. Mandryk Central Military Clinical Hospital of the Russian Ministry of Defense; Colonel of Medical Service, Doctor of Medical Sciences, Associate Professor, Professor of the Department of Hospital Surgery with a Course in Pediatric Surgery at the Medical Institute of the Peoples' Friendship University of Russia.
107014, Moscow, Bolshaya Olenya Street, 8A; Miklukho-Maklaya str., 6, Moscow, 117198
A. N. Chesnakov
Central Military Clinical Hospital named after P. V. Mandrykа of the Ministry of Defense of the Russian Federation
Russian Federation
Russian Federation
Aleksey N. Chesnakov – Senior Resident of the Surgery Department, P.V. Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation; Lieutenant Colonel of Medical Service.
107014, 8A Bolshaya Olenya Street, Moscow
K. N. Efremov
Central Military Clinical Hospital named after P. V. Mandrykа of the Ministry of Defense of the Russian Federation
Russian Federation
Russian Federation
Konstantin N. Efremov – Senior Resident of the Surgery Department, P.V. Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation, Lieutenant Colonel of Medical Service.
107014, Moscow, Bolshaya Olenya Street, 8A
A. A. Rodina
Central Military Clinical Hospital named after P. V. Mandrykа of the Ministry of Defense of the Russian Federation
Russian Federation
Russian Federation
Alena A. Rodina – Pathologist at the Pathological Anatomy Department of the P.V. Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation.
107014, Moscow, Bolshaya Olenya Street, 8A
E. P. Krainyukov
413 Military Clinical Hospital of the Ministry of Defense of the Russian Federation
Russian Federation
Russian Federation
Evgeniy P. Krainyukov – Head of the Surgery Department at the 413 Military Clinical Hospital of the Ministry of Defense of the Russian Federation, Captain of Medical Service.
400107, Volgograd
Ya. S. Kolbasin
Central Military Clinical Hospital named after P. V. Mandrykа of the Ministry of Defense of the Russian Federation
Russian Federation
Russian Federation
Yaroslav S. Kolbasin – Head of the Department of Minimally Invasive Diagnostics and Treatment Methods of the Surgical Department (Emergency Surgery) of the P.V. Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation.
107014, Moscow, Bolshaya Olenya Street, 8A
M. V. Belov
Central Military Clinical Hospital named after P. V. Mandrykа of the Ministry of Defense of the Russian Federation
Russian Federation
Russian Federation
Mikhail V. Belov– Senior Resident of the Surgery Department at the P.V. Mandryka Central Military Clinical Hospital of the Ministry of Defense of the Russian Federation.
107014, Moscow, Bolshaya Olenya Street, 8A
Tel.: 89147266823
References
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Review
For citations:
Krainyukov P.E., Salimov D.Sh., Chesnakov A.N., Efremov K.N., Rodina A.A., Krainyukov E.P., Kolbasin Ya.S., Belov M.V. Negative pressure wound therapy in a patient with an extensive soft tissue defect of the shoulder after a mine-blast injury. Moscow Surgical Journal. 2026;(2):171-177. (In Russ.) https://doi.org/10.17238/2072-3180-2026-2-171-177
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