[Treatment of gunshot wounds of the veins in the first echelon of specialized surgical care].
Results of first specialized aid to 26 wounded with injuries of the major veins are analyzed. Rate and nature of injuries of various major veins are regarded. Complete rupture of the vessel and its destruction with dehiscence of different length were seen in more than half of the cases (57.7%). In this case repair of venous vessel patency required various plastic methods. In lateral or incomplete transverse rupture it was possible to put lateral or circular vascular suture. Ligature of injured venous vessel was performed in half of the cases. Based on anatomic features of venous circulation in the extremities, immediate and long-term results of the treatment, 2 groups of injuries were identified: 1st - ligature of the veins did not lead to disorders of venous circulation and function of the extremity in the nearest and long-term period after surgery; 2nd - ligature of the vessel was dangerous due to serious disorders of venous circulation in the nearest period after surgery and might lead to disorders of extremity function and disability. In gunshot wounds of the major veins good results may be achieved in early reconstructive surgeries with individual approach allowing for general condition of the wounded and nature of vessel injury.
Efimenko
N A
NA
Pinchuk
O V
OV
Kuritsyn
A N
AN
D002391:Catchment Area, Health; D006801:Humans; D012426:Russia / Q000453:epidemiology; D013503:Surgery Department, Hospital; D013514:Surgical Procedures, Operative / Q000379:methods*; D014680:Veins; D014948:Wounds, Gunshot / Q000453:epidemiology / Q000601:surgery*