title: [Surgical debridement of gunshot wounds].
abstract: The authors conducted experimental (130 rabbits) and clinical studies (249 persons) in gunshot wounds of the soft tissues. It was found that in 29% of cases, primary surgical debridement of the gunshot wound failed to be a radical intervention because zones of secondary necrosis of the tissues developed on days 3-4. In view of this, gunshot wounds must be examined without fail on days 3-5 to determine the indications for repeated surgical debridement. The indications for repeated surgical debridement are as follows: foci of necrotic tissues, unopened pockets, the presence of foreign bodies. Repeated surgical debridement of a gunshot wound, when indicated, reduces the number of purulent complications by 4 times and the duration of treatment by 1.5 times.
authors.forename: V A
authors.initials: VA
authors.lastname: Popov
authors.forename: V V
authors.initials: VV
authors.lastname: Vorob'ev
mesh_terms: D000818:Animals; D003646:Debridement / Q000379:methods*; D006614:Hindlimb / Q000293:injuries / Q000473:pathology / Q000601:surgery; D006801:Humans; D007869:Leg Injuries / Q000473:pathology / Q000601:surgery*; D009336:Necrosis; D011817:Rabbits; D013997:Time Factors; D014946:Wound Infection / Q000517:prevention & control*; D014948:Wounds, Gunshot / Q000473:pathology / Q000601:surgery*
vernacular_title: Khirurgicheskaia obrabotka ognestrel'nykh ran.