Preview

Moscow Surgical Journal

Advanced search

Long-term results of treatment of pelvic gunshot wounds in women

https://doi.org/10.17238/2072-3180-2024-4-182-188

Abstract

Introduction. During military operations, not only military personnel but also civilians are injured. Injuries sustained by civilians have different localisations, and the pelvic organs are no exception.

Purpose of the study. To study the long-term results of treatment of pelvic gunshot wounds in women.

Materials and methods of research. A study of 100 female patients who had previously undergone pelvic surgery for gunshot wounds was conducted. The mean age of the subjects was 38 ± 5 years. Depending on the time of surgical treatment from the moment of injury, all the subjects were divided into two groups: A – patients who underwent surgical treatment up to one hour from the time of injury (50 patients) and B – patients who underwent surgical treatment more than one hour from the time of injury (50 patients).

Results. Out of the total number of those examined, the absence of complaints related to the previously undergone surgery was noted by 36 % of the respondents, while in the remaining 64 % of observations various complaints were identified, which can be conditionally divided into psychological complaints in 23 % of observations and complaints related to pain syndrome in 41 % of cases.

Conclusion. As the presented analysis shows, gunshot wounds of the small pelvis in women in the remote postoperative period are accompanied by quite a large number of complaints. However, it should be noted that the distribution of complaints depended on the time elapsed from the moment of wounding to the beginning of surgical intervention.

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, 410012, Bolshaya Kazachya St., 112, Saratov;

Doctor of Medicine Sciences, Professor, Department of Surgical Diseases, 410012, Verkhny Market St., Bldg. 10, 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



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

Polidanov Maxim Andreevich – Postgraduate student of the Department of Surgical Diseases, 410012, Verkhny Market St., Bldg. 10, Saratov;

research department specialist, assistant of the  Department of Biomedical Disciplines, 198099, Kalinina St., 8, bld. 2, lit. A, Saint Petersburg



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,

410012, Bolshaya Kazachya St., 112, 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



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, 410012, Bolshaya Kazachya St., 112, Saratov;

Candidate of Medical Sciences, senior lecturer of the Department of Surgical Diseases, 410012, Verkhny Market St., Bldg. 10, Saratov



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 – 2-nd year student of the Faculty of Medicine,

410012, Bolshaya Kazachya St., 112, Saratov



References

1. Maslyakov V.V., Sidelnikov S.A., Dadaev A.Ya. et al. Analysis of the results of treatment of pelvic wounds with damage to reproductive organs in women in local armed conflict. Medicine of Catastrophes, 2022, № 4, рр. 34–38. (In Russ.)

2. Andreeva E.N., Sheremetyeva E.V. The problem of female sexuality. Problems of reproduction, 2019, vol. 25, № 3, pp. 40–50. (In Russ.)

3. Maslyakov V.V., Kapralov S.V., Sidelnikov S.A., Parshin A.V., Polidanov M.A., Uryadov S.E., Barsukov V.G., Volkov K.A., Aristova I.S., Marchenko V.S., Mezirov G.G., Panferov V.Y. Characteristics of pelvic organ injuries in gunshot wounds of civilians received in the conditions of local armed conflict. Moscow Surgical Journal, 2024, № 2, рр. 62–69. (In Russ.)

4. Maslyakov V.V., Kapralov S.V., Sidelnikov S.А., Polidanov М.А., Uryadov S.Е., Barsukov V.G., Parshin А.V., Volkov К.А., Marchenko V.S., Mezirov G.G. Changes in hormonal background in the immediate postoperative period in women with penetrating gunshot wounds of the small pelvis. Moscow Surgical Journal, 2024, № 2, рр. 70–76. (In Russ.)

5. 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, vol.3, № 68, рр. 16–27. (In Russ.)

6. Semyonov A.V., Sorokovikov V.A. Scales of severity assessment and prediction of trauma outcome. Polytrauma, 2016, № 2, рр. 80–90. (In Russ).

7. 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.)

8. Yarotskaya E.L. Pelvic pain in women: issues of diagnostics and treatment. Consilium Medicum., 2016, vol. 18, № 6, рр. 82–86. (In Russ).

9. Lazarev A.F., Gudushauri Y.G., Kostiv E.P. et al. Clinical aspects of complications of pelvic injuries. Pacific Medical Journal, 2017, № 1, pp. 17– 23. (In Russ.)

10. Ivashkin V.T., Shulpekova Y.O. Nerve mechanisms of pain sensitivity. Russian journal of gastroenterology, hepatology, coloproctology, 2002, № 4, рр. 16–21. (In Russ.)

11. Maslyakov V.V., Salov I.A., Sidelnikov S.A., Barachevsky Y.E., Parshin A.V., Polidanov M.A. Characteristics of the types of first aid for pelvic wounds in women received in the conditions of local military conflict. Journal named after N.V. Sklifosov. Neotrudnaya meditskaya aplika, 2023, vol. 12, № 4, рр. 601–606 (In Russ.)

12. 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. Optimisation of surgical treatment of gunshot wounds of the small pelvis with damage to internal genitalia in women. Polytrauma, 2023, № 4, рр. 13–19. (In Russ.)


Review

For citations:


Maslyakov V.V., Sidelnikov S.A., Polidanov M.A., Parshin A.V., Kapralov S.V., Barsukov V.G., Volkov K.A. Long-term results of treatment of pelvic gunshot wounds in women. Moscow Surgical Journal. 2024;(4):183-188. (In Russ.) https://doi.org/10.17238/2072-3180-2024-4-182-188

Views: 121


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 2072-3180 (Print)