[Results of usage of temporary prosthetics in cases of combat injuries of extremities].
The comparative analyzes of the results of usage of temporary prosthetics (TP) of injured main arteries during the war in Afghanistan (1979-1989) and counter-terrorist operations in the Northern Caucasus (1994-1996, 1999-2002) has been carried out. The development of new models of temporary prosthetics of vessels has been experimentally substantiated. In Afghanistan the two-staged usage of TP was made along with the amputation of extremities in 35,1% of cases and in the Northern Caucasus - in 15,0%. The reason for that was the considerable reduction of terms of evacuation of wounded. The average terms of presence of TP in the arteries in Afghanistan were 26,2+/-4,0 hours and in the Northern Caucasus - 18,1+/-3,4 hours. During a series of experiments on comparative testing of efficiency of three types of TP it was determined that prosthetics made of armored silicone (10,1+/-0,6 hours)and, especially made of enlarged micropored polytetraftoraethylen (11,5 +/-0,6 hours) are thrombosed slower comparing to polyclorvinil tube from the blood transfusion system (7,9+/-0,7 hours).
Samokhvalov
I M
IM
Zavrazhanov
A A
AA
Kornilov
E A
EA
D000346:Afghanistan; D001158:Arteries / Q000293:injuries / Q000601:surgery*; D001807:Blood Vessel Prosthesis; D005121:Extremities / Q000098:blood supply / Q000293:injuries / Q000601:surgery*; D005392:First Aid; D006801:Humans; D008889:Military Personnel; D011138:Polytetrafluoroethylene / Q000737:chemistry; D012426:Russia; D012828:Silicones / Q000737:chemistry; D016896:Treatment Outcome; D014857:Warfare; D014948:Wounds, Gunshot / Q000601:surgery*
D012828:Silicones; D011138:Polytetrafluoroethylene