Cardiovascular surgery during local armed conflicts: new realities of an old specialty
https://doi.org/10.17238/2072-3180-2024-3-136-141
Abstract
Introduction. Providing highly qualified medical care to patients with combat cardiovascular trauma, which differs significantly from somatic pathology of the circulatory system, required, in modern conditions, a revision of established routine practice, a significantly broader knowledge and experience of specialists.
Purpose of the study. Analysis of current trends in the development of cardiovascular surgery associated with combat trauma.
Materials and methods. A number of features of combat trauma related to cardiovascular surgery and non-standard solutions in specific clinical situations are considered.
Results. The use of the full arsenal of modern methods of diagnosis and treatment of patients with combat trauma and diseases of the cardiovascular system, with high detail, optimization of surgical procedures and minimization of surgical trauma, allowed us to achieve satisfactory clinical results and shorten the rehabilitation period.
Conclusion. Based on the results of our study, we can draw conclusions about the increased contribution of the use of modern technologies in the treatment of patients with wounds and injuries of the cardiovascular system, which simplify and optimize the surgical procedure, and thereby improve the prognosis of long-term survival and the quality of life of victims.
About the Authors
P. E. Krainyukov
Federal Governmental Institution «Central Military Clinical Hospital named after P.V. Mandryka» Ministry of Defense of the Russian Federation; Federal State Budgetary Educational Institution of Higher Education «Russian Peoples’ Friendship University»
Russian Federation
Russian Federation
Krainyukov Pavel Evgenievich – Doctor of Medical Sciences, Doctor of Military Sciences, Associate Professor, Major General of Medical Service, Head; Professor of the Department of Hospital Surgery with a Course of Pediatric Surgery
8A, Bolshaya Olenya, Moscow, 107014;
Moscow, 117198.
I. A. Borisov
Federal Governmental Institution «Central Military Clinical Hospital named after P.V. Mandryka» of the Ministry of Defense of the Russian Federation
Russian Federation
Russian Federation
Borisov Igor Alekseevich – Doctor of Medical Sciences, Professor, Cardiovascular Surgeon,
8A, Bolshaya Olenya, Moscow, 107014.
V. V. Dalinin
Federal Governmental Institution «Central Military Clinical Hospital named after P.V. Mandryka» of the Ministry of Defense of the Russian Federation
Russian Federation
Russian Federation
Dalinin Vadim Vadimovich – Doctor of Medical Sciences, Cardiovascular Surgeon,
8A, Bolshaya Olenya, Moscow, 107014.
N. O. Travin
Federal Governmental Institution «Central Military Clinical Hospital named after P.V. Mandryka» of the Ministry of Defense of the Russian Federation
Russian Federation
Russian Federation
Travin Nikolay Olegovich – Doctor of Medical Sciences, Associate Professor, Cardiovascular Surgeon,
8A, Bolshaya Olenya, Moscow, 107014.
References
1. Pisarenko L.V., Gumenyuk S.A., Potapov V.I. Features of modern local wars and armed conflicts and problems of providing medical care to the population in the prehospital period. Emergency Medicine, 2022, № 4, pp. 68–72. (In Russ.)
2. Samokhvalov I.M., Shelepov A.M., Severin V.V. et al. Modern approaches to the study of sanitary and irretrievable surgical losses in military conflicts. Military medical journal, 2016, vol. 337, № 5, pp. 10–16. (In Russ.)
3. Samokhvalov I.M., Goncharov A.V., Chirsky V.S. et al. “Potentially saveable” wounded - a reserve for reducing prehospital mortality in wounds and injuries. Emergency, 2019, vol. 20, № 3, pp. 10–17. (In Russ.)
4. Krainyukov P.E., Samokhvalov I.M., Reva V.A. Tactical medicine is a new concept for a “new type” of war. Military medical journal, 2021, vol. 342, № 5, рр. 4–17. (In Russ.)
5. Blackbourne L.N., Baer D.G., Eastridge B.J., et al. Military medical revolution: prehospital combat casualty care. J. Trauma Acute Care Surg, 2012, vol. 73, № 6 (Suppl. 5), рр. S372–S377.
6. Kryukov E.V., Bagnenko A.S., Badalov V.I., et al. Military field surgery. Textbook. M. : GEOTAR-Media, 2023, 568 p. (In Russ.)
7. Skorik Yu.V., Zaripova Z.A. Tactical and special medical training. Gunshot wounds. Part 1. M. : Pero, 2022, 76 p. (In Russ.)
8. Lupentsov V.A., Kamenskaya E.V., Panov N.I., Maksimov D.N. First aid for damage to large blood vessels. Improving the system of organizing daily activities in formations, military units and organizations of the Ministry of Defense of the Russian Federation. Problematic issues and ways to solve them: materials of the IV All-Russian Scientific and Practical Conference. Omsk, 2023, pp. 168–176. (In Russ.)
9. Clinical angiology: Guide / Ed. A.V. Pokrovsky. Vol. 1. M. : Medicine, 2004, 808 p. (In Russ.)
10. Belov Yu.V. Guide to vascular surgery. M. : Medical Information Agency, 2011, 464 p. (In Russ.)
11. Napalkov D.A., Sokolova A.A., Zhilenko A.V. Venous thromboembolic complications. M. : Geotar-Media, 2023, 96 p. (In Russ.)
Review
For citations:
Krainyukov P.E., Borisov I.A., Dalinin V.V., Travin N.O. Cardiovascular surgery during local armed conflicts: new realities of an old specialty. Moscow Surgical Journal. 2024;(3):136-141. (In Russ.) https://doi.org/10.17238/2072-3180-2024-3-136-141
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