Sirko, A.G. (2017) Skull and Brain Gunshot Wound during the Armed Conflict in Eastern Ukraine. Optimization of Medical Care. Turkish Neurosurgery, Sup.27. p. 146. ISSN 1019-5149 (Print), 1019-5149 (Linking)
|
Text
page_146.pdf Download (87kB) | Preview |
Abstract
Background: A prospective study of the results of treatment of 132patients with gunshot traumatic brain injury (GTBI), who were admitted during the period from May 2014 to December 2015, hasbeen conducted.Methods: Surgical tactics issues, complications frequency andnature, reasons for reoperation, mortality among the injured, waysto improve the medical care delivery have been studied.Results: 93 (70.5%) patients had penetrating traumatic brain injuries(TBI) with the dura injury, and 39 (29.5 %) – nonpenetrating TBI.Injuries with mine and explosive devices debris were diagnosed in115 (87.1%) patients, and injuries with small arms bullets – onlyin 17 (12.9%). On the basis of own experience and analysis of theliterature data about GTBI treatment, 12 main operation stageshave been distinguished. During penetrating injuries surgicaldebridement all devitalized tissues - detritus, blood clots, aggressivelesions, foreign matters – shall be radically removed; primaryreconstruction of the skin, dura, skull base and skull cap shall beused widely. In the conducted study, Among 132 patients 16 (12.1%)persons died. All 39 patients with nonpenetrating TBI survived.Among patients with penetrating TBI mortality rate made 17.2%.Conclusion: The main task of the surgery for penetrating traumaticbrain injuries is its execution by the neurosurgeon to the full extentduring a single surgery. A perspective direction to improve theresults of treatment of patients with head wounds is the realizationof conception of the early specialized neurosurgical service with theusage of the early reconstructive neurosurgery tactics.
| Item Type: | Article |
|---|---|
| Additional Information: | 16th World Congress of Neurosurgery, 20-25 August, Istanbul, Turkey, 2017. - Abstract book of 16th World Congress of Neurosurgery. - OP-NT.07-01. - P. 146 |
| Uncontrolled Keywords: | Skull and brain gunshot wound, Armed conflict, Optimization of medical care, Penetrating injuries, Gunshottraumatic brain injury |
| Subjects: | Neurosurgery |
| Divisions: | Faculty of Postgraduate Education > Department of Neurology and Neurosurgery FPE |
| Depositing User: | Елена Шрамко |
| Date Deposited: | 09 Jul 2018 13:20 |
| Last Modified: | 10 Jul 2018 06:39 |
| URI: | http://repo.dma.dp.ua/id/eprint/2949 |
Actions (login required)
 |
View Item |
