Negative pressure system in the treatment of extensive soft tissue defect after mine-blast injury

Abstract

Introduction. Providing surgical care to the wounded with extensive soft tissue defects of gunshot and mine-explosive etiology remains an urgent problem of modern combat trauma surgery. There is no clear algorithm for choosing one or another method of treatment and, in the future, closing the wound defect. Using a clinical example, the authors present a variant of providing surgical care to a wounded person with an extensive defect in the soft tissues of the anterior abdominal wall using a negative pressure system.
Description of the clinical case. A clinical observation of the treatment of combat trauma due to combined injury by foreign objects (metal fragments) of the abdomen, pelvis, lower extremities with damage to the abdominal organs, extensive defect of the soft tissues of the anterior abdominal wall, gunshot multi-splintered fracture of the right ilium, through wound of the scrotum and penis, wound of the soft tissues of the left shin is considered.