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Impact of choice of surgical treatment for gunshot wounds of the uterus depending on the nature of the wound

https://doi.org/10.17238/2072-3180-2024-3-142-149

Abstract

Introduction. Unfortunately, at present there are still quite a large number of local military conflicts in which not only servicemen but also civilians are injured.

Purpose of the study. To study the main anatomical injuries in gunshot wounds of the uterus and their influence on the choice of surgical treatment.

Materials and methods of research. We analyzed the results of treatment of 86 female patients who received gunshot wounds in the pelvic region from the civilian population in the local armed conflict with uterine injury. The average age was 36±5 years. Taking into account the time of delivery, all the wounded were divided into 2 subgroups: the 1st group included 45 (52.3%) women whose delivery time to the medical institution did not exceed 1.5 h; the 2nd group included 41 (47.7%) women whose delivery time exceeded the specified time limits.

Results. The study shows that multiple wounds predominated in both groups. In those cases where the uterine wound was superficial, the wound was not the source of peritonitis.

Conclusion. It has been confirmed that in cases where the uterine wound is superficial, the wound is not a source of peritonitis and organ-preserving operations should be preferred. But, in those cases when the number of wounds exceeds three, regardless of the penetrating or non-penetrating nature of the wound, preference should be given to uterine extirpation, as suturing in such cases is accompanied by deformation of the uterus with subsequent impairment of childbearing function.

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, Professor, Department of Mobilization Preparation of Public Health and Disaster Medicine; Doctor of Medicine Sciences, Professor, Professor at the Department of Surgical Diseases,

112, Bolshaya Kazachya St., Saratov, 410012;

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


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

Salov Igor Arkadyevich – Doctor of Medicine Sciences, Professor, Honored Doctor of the Russian Federation, Head of the Department of Obstetrics and Gynecology of the Faculty of Medicine, 

112, Bolshaya Kazachya St., Saratov, 410012.


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, 

112, Bolshaya Kazachya St., Saratov, 410012.


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, 

112, Bolshaya Kazachya St., Saratov, 410012.


A. 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, 

112, Bolshaya Kazachya St., Saratov, 410012.


M. A. Polidanov
University «Reaviz»; Medical University «Reaviz»
Russian Federation

Polidanov Maxim Andreevich – Research Department Specialist, Assistant of the Department of Biomedical Disciplines; Postgraduate Student of the Department of Surgical Diseases,

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

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


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,

112, Bolshaya Kazachya St., Saratov, 410012;

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


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

Volkov Kirill Andreevich – 2nd year Student of the Faculty of Medicine, 

112, Bolshaya Kazachya St., Saratov, 410012.


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

Vysotsky Lev Ilyich – 4th year Student of the Faculty of Pediatrics, 

112, Bolshaya Kazachya St., Saratov, 410012.


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

Dyagel Artem Pavlovich – 2nd year Student of the Faculty of Medicine, 

112, Bolshaya Kazachya St., Saratov, 410012.


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

Marchenko Valeria Sergeevna – 2nd year Student of the Faculty of Medicine, 

112, Bolshaya Kazachya St., Saratov, 410012.


O. S. Semenova
Samara State Medical University of the Ministry of Health of Russia
Russian Federation

Semenova Olesya Sergeevna – 5th year Student of the Institute of Pediatrics,

89, Chapaevskaya str., Samara, 443099.


O. M. Anisimova
Samara State Medical University of the Ministry of Health of Russia
Russian Federation

Anisimova Oksana Mikhailovna – 5th year Student of the Institute of Pediatrics, 

89, Chapaevskaya str., Samara, 443099.


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. Bondarenko A.V., Kruglykhin I.V., Plotnikov I.A. Features of treatment of pelvic injuries in polytrauma. Polytrauma, 2014, № 3, рр. 46–62. (In Russ.)

3. Polidanov M.A., Volkov K.A., Maslyakov V.V., Parshin A.V. Organizational problems of first aid for pelvic wounds in women received in the conditions of local armed conflict. In Collection: Technogenic and natural safety. Medicine of catastrophes (safety-2023). Collection of scientific papers of the VII All-Russian scientific-practical conference with international participation. Saratov, 2023, рр. 227–230. (In Russ.)

4. Doronin M.V., Dub I.D., Shpilenya E.S. Combat trauma of urogenital organs. Prevalence, clinical picture and diagnostic methods at the stages of medical evacuation. Military Medicine, 2023, № 3(68), рр. 16–27. (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. Vasiliev A.Y., Romanova A.V., Lezhnev D.A. Radiation diagnostics of abdominal injuries on clinical examples of penetrating wounds from the practice of the first-level medical institution. Consilium Medicum, 2018, vol. 20, № 8, рр. 32–36. (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.)


Review

For citations:

Maslyakov V.V., Salov I.A., Kapralov S.V., Sidelnikov S.A., Parshin A.V., Polidanov M.A., Barsukov V.G., Volkov K.A., Vysotsky L.I., Dyagel A.P., Marchenko V.S., Semenova O.S., Anisimova O.M. Impact of choice of surgical treatment for gunshot wounds of the uterus depending on the nature of the wound. Moscow Surgical Journal. 2024;(3):142-149. (In Russ.) https://doi.org/10.17238/2072-3180-2024-3-142-149

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ISSN 2072-3180 (Print)
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