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Characterization of pelvic organ injuries in civilian gunshot wounds sustained in local armed conflict

https://doi.org/10.17238/2072-3180-2024-2-62-69

Abstract

Introduction. It is with great regret that armed conflicts continue to arise in the modern world. There is no doubt that under such conditions, not only military personnel directly involved in hostilities, but also civilians are injured.

The purpose of the study. To characterize the injuries in pelvic gunshot wounds in patients from the civilian population, received in the conditions of local armed conflict.

Materials and methods of research. The study included 112 wounded civilians with gunshot wounds to the pelvic region. The injured were included in different periods of armed conflicts: in the territories of Grozny (Chechen Republic) in the period from 2000 to 2003, Lugansk People's Republic, Donetsk People's Republic, Zaporizhzhya and Kherson regions during a special military operation. Of the total number of wounded men there were 64 (57,1 %), women – 48 (42,8 %). All the wounded with penetrating character in the given anatomical area, whose age was not less than 18 years, were included. The wounded with combined injuries to the head, chest, and extremities were excluded.

Results. All pelvic wounds can be divided into three groups: wounds of the external genitalia, wounds of the internal pelvic organs, and wounds of the external genitalia and internal organs. Complications from wounds to this anatomical region occur in 34.8%, and the mortality rate is 18,7 %.

Conclusion. Thus, the presented study shows that gunshot wounds to the pelvic region are severe wounds, accompanied by a fairly large number of complications and fatalities.

About the Authors

V. V. Maslyakov
Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation; «Medical University «Reaviz»
Russian Federation

Maslyakov Vladimir Vladimirovich – Doctor of Medicine Sciences, Professor, Department of Mobilization Preparation of Public Health and Disaster Medicine; Doctor of Medicine Sciences, Professor, Department of Surgical Diseases

410012, Bolshaya Kazachya St., 112, Saratov;

410012, Verkhny Market St., Bldg. 10, Saratov

 



S. V. Kapralov
Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation
Russian Federation

Kapralov Sergey Vladimirovich – Doctor of Medicine Sciences, associate professor, Head of the Department of Faculty Surgery and Oncology

410012, Bolshaya Kazachya St., 112, Saratov



S. A. Sidelnikov
Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation
Russian Federation

Sidelnikov Sergey Alekseevich – Doctor of Medicine Sciences, associate professor, Head of the Department of Mobilization Preparation of Public Health and Disaster Medicine

410012, Bolshaya Kazachya St., 112, Saratov



А. V. Parshin
Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation
Russian Federation

Parshin Alexey Vladimirovich – Candidate of Medical Sciences, Associate Professor, Associate Professor of the Department of Obstetrics and Gynecology, Faculty of Medicine

410012, Bolshaya Kazachya St., 112, Saratov



М. А. Polidanov
«Medical University «Reaviz»; University «Reaviz»
Russian Federation

Polidanov Maxim Andreevich – research department specialist, assistant of the Department of Biomedical Disciplines; Postgraduate student 

198099, Kalinina St., 8, bld. 2, lit. A, Saint Petersburg;

410012, Verkhny Market St., Bldg. 10, Saratov



S. Е. Uryadov
Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation
Russian Federation

Uryadov Sergey Evgenyevich – Doctor of Medicine Sciences, Associate Professor, Associate Professor of the Department of Surgical Diseases

410012, Bolshaya Kazachya St., 112, Saratov



V. G. Barsukov
Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation; «Medical University «Reaviz»
Russian Federation

Barsukov Vitaly Gennadievich – Candidate of Medical Sciences, Assistant of the Department of Faculty Surgery and Oncology; Candidate of Medical Sciences, senior lecturer of the
Department of Surgical Diseases

410012, Bolshaya Kazachya St., 112, Saratov;

410012, Verkhny Market St., Bldg. 10, Saratov



К. А. Volkov
Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation
Russian Federation

Volkov Kirill Andreevich – 2-nd year student of the Faculty of Medicine

410012, Bolshaya Kazachya St., 112, Saratov



I. S. Aristova
«Medical University «Reaviz».
Russian Federation

Aristova Irina Sergeevna – Candidate of Medical Sciences, Associate Professor, Head of the Department of Morphology and Pathology

410012, Verkhny Market St., Bldg. 10, Saratov



V. S. Marchenko
Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation
Russian Federation

Marchenko Vladislav Sergeevich – resident physician of the Department of Urology

410012, Bolshaya Kazachya St., 112, Saratov



G. G. Mezirov
Saratov State Medical University named after V.I. Razumovsky of the Ministry of Health of the Russian Federation
Russian Federation

Mezirov Georgiy Georgievich – resident physician of the Department of Urology

410012, Bolshaya Kazachya St., 112, Saratov



V. Y. Panferov
Samara State Medical University of the Ministry of Health of the Russian Federation.
Russian Federation

Panferov Vladislav Yurievich – 5-th year student of the Institute of Pediatrics

 443099, Chapaevskaya str. 89, Samara



References

1. Maslyakov V.V., Dadaev A.Ya., Kulikov S.A. et al. Improving the results of treatment of gunshot wounds to the abdomen of civilians received in conditions of local paramilitary conflicts. Bulletin of the medical Institute «Reaviz»: rehabilitation, doctor and health, 2020, № 2, рр. 51–56. (In Russ.)

2. Abakumov M.M., Tsamalaidze L.N., Voskresensky O.V. et al. Wounds of the neck, chest and abdomen with a firearm traumatic weapon. Surgery. Magazine named after N.I. Pirogov, 2010, № 11, рр. 16–22. (In Russ.)

3. Amaslyakov V.V., Dadaev A.Ya., Kerimov A.Z. et al. Immediate and long-term results of treatment of patients with gunshot wounds of the abdomen. Fundamental research, 2013, № 7, рр. 339–343. (In Russ.)

4. Linev K.A., Torba A.V. Tactics of surgical treatment of gunshot wounds of the abdomen. News of surgery, 2016, vol. 24, № 1, рр. 93–98. (In Russ.)

5. Semenov A.V., Sorokovikov V.A. Scales for assessing the severity and predicting the outcome of injuries. Polytrauma, 2016, № 2, рр. 80–90. (In Russ.)

6. Dmitrieva O.A., Fedchenko T.M., Danilyak T.A. Some questions of forensic medical examination in case of damage to the external genitalia of men. Problems of expertise in medicine, 2009, vol. 9, № 1, рр. 14–17. (In Russ.)

7. Yarovoy S.K., Khromov R.A., Kasatonova E.V. Diagnosis and treatment of testicular injury: the current state of the problem (literature review). Experimental and clinical urology, 2018, № 2, рр. 66–72. (In Russ.)

8. Maslyakov V.V., Salov I.A., Sidelnikov S.A., Barachevsky Y.E., Parshin A.V., Polidanov M.A. Characterization of the types of first aid for pelvic wounds in women received in a local military conflict. Journal named after N.V. Sklifosov. Emergency Medical Care, 2023, vol. 12, № 4, рр. 601–606. (In Russ.)

9. Maslyakov V.V., Salov I.A., Sidelnikov S.A., Uryadov S.E., Parshin A.V., Barsukov V.G., Polidanov M.A., Papadopoulos H.D., Petrich A.V. Optimization of surgical treatment of gunshot wounds of the small pelvis with damage to internal genital organs in women. Polytrauma, 2023, № 4, рр. 13–19. (In Russ.)


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For citations:


Maslyakov V.V., Kapralov S.V., Sidelnikov S.A., Parshin А.V., Polidanov М.А., Uryadov S.Е., Barsukov V.G., Volkov К.А., Aristova I.S., Marchenko V.S., Mezirov G.G., Panferov V.Y. Characterization of pelvic organ injuries in civilian gunshot wounds sustained in local armed conflict. Moscow Surgical Journal. 2024;(2):62-69. (In Russ.) https://doi.org/10.17238/2072-3180-2024-2-62-69

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ISSN 2072-3180 (Print)