Surgical strategy for combined gun-shot wounds of extremities with injuries of main arteries
Samokhvalov, I.M.; Zavrazhnov, A.A.; Kornilov, E.A.; Margarian, S.A.
Vestnik Khirurgii Imeni I. I. Grekova 165(5): 45-49
2006
ISSN/ISBN: 0042-4625 PMID: 17315688 Document Number: 595730
An investigation of materials of treatment of 130 wounded with combined wounds (CW) of extremity blood vessels during war in Afghanistan and in counter-terrorist operations in the Northern Caucasus has shown that the specific feature of surgical treatment of wounds of the extremity arteries associated with severe wounds of other localizations consists in limited possibilities to save the extremities. The scale MESS of a severity of extremity wounds was improved. It allowed a reliable prognosis for wounded with gunshot injuries of the arteries concerning necessary amputation (97%) or a possibility to save the extremity (100%). A strategy of surgical treatment of CW of the extremity arteries is proposed on the basis of an estimation of the general severity of the trauma, the V.A. Kornilov classification of the severity of acute ischemia and a FS-MESS scale of extremity injuries.