The method of stopping continuing bleeding in case of through-and-through lung injury

Cover Page

Cite item

Full Text

Abstract

The analysis of the structure of chest injuries in peacetime and wartime was carried out; a statistical analysis of the staged treatment of patients with ongoing bleeding with a perforating wound of the lungs during the war in Afghanistan, armed conflicts in the North Caucasus and according to the case histories of patients of the clinic of military-field surgery. The structure of the life-threatening consequences of chest injuries during military conflicts included continuing bleeding developing in 22.5% of cases with a through wound of the lungs; in peacetime in 18.6% of cases. The medical and technical requirements for the method of stopping the ongoing bleeding with a through wound of the lungs are formulated. Biological models of ongoing bleeding with a through wound of the lungs have been developed to conduct tests of the developed method. A method of stopping continuing bleeding in case of through-and-through lung injury in accordance with medical and technical requirements has been developed. The high efficiency of the developed method of stopping bleeding in case of through lung injury was experimentally confirmed (6 figures, 4 tables, bibliography: 7 refs).

About the authors

Artemii K. Kolobkov

S.M. Kirov Military Medical Academy of the Russian Defense Ministry

Author for correspondence.
Email: artkolon@gmail.com
SPIN-code: 1881-4298

6th year cadet

Russian Federation, 6, Akademika Lebedeva str., Saint Peterburg, 194044

Vitaliy Y. Markevich

S.M. Kirov Military Medical Academy of the Russian Defense Ministry

Email: vitaly-med@mail.ru
SPIN-code: 5652-4935

MD, PhD (Medicine), Associate Professor

Russian Federation, 6, Akademika Lebedeva str., Saint Peterburg, 194044

References

  1. Denisov AS, Shchekolova NB, Ladeyshchikov VM. Surgical tactics for combined chest trauma in acute and subsequent periods of traumatic. Perm Medical Journal. 2019;36(3):11–17. (In Russ.) doi: 10.17816/pmj36311-17
  2. Evdokimov SV, Baulin AV, Evdokimov ME, et al. Some features of organizing a surgical experiment on pigs. Advances in current natural sciences. 2015;(1–5):756–759.
  3. Inozemtsev EO, Grigoryev EG, Aparzin KA. Topical issues of surgery of combined injuries (based on the publications of the journal Polytrauma). Polytrauma. 2017;(1):6–10. (In Russ.)
  4. Samokhvalov IM, Golovko KP, Boyarintsev VV, et al. Rationale for the concept of early pathogenetic treatment of severe injuries and injuries. Vestnik Rossiyskoy voyenno-meditsinskoy akadtmii. 2020;(3):23–28. (In Russ.)
  5. Samokhvalov IM, Manukovskiy VA, Badalov VI, et al. Application of multi-stage treatment tactics (“damage control”) in military field surgery. Military Medical Journal. 2011;332(9):30–35. (In Russ.)
  6. Asensio JA, Ogun OA, Mazzini FN, et al. Predictors of outcome in 101 patients requiring emergent thoracotomy for penetrating pulmonary injuries. European Journal of Trauma and Emergency Surgery. 2018;44(1):55–61. doi: 10.1007/s00068-017-0802-x
  7. Geldenhuys A. Thoracic Damage Control Surgery. Current Trauma Reports. 2018;4(3):177–82.

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig 1. Distribution of wounded with ongoing bleeding in case of a through wound of the lungs in armed conflicts

Download (144KB)
3. Fig. 2. Compression of lung tissue along the wound channel by an assistant

Download (61KB)
4. Fig. 3. Hardware suture of the lung tissue compressed along the wound channel from the outer surface of the lung to the wound channel

Download (51KB)
5. Fig. 4. Suturing the wound channel with a U-shaped suture

Download (32KB)
6. Fig. 5. Biological model of continuing bleeding with a through wound of the lungs

Download (81KB)
7. Fig. 6. Implemented hemo- and aerostasis

Download (91KB)

Copyright (c) 2021 Kolobkov A.K., Markevich V.Y.

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Согласие на обработку персональных данных

 

Используя сайт https://journals.rcsi.science, я (далее – «Пользователь» или «Субъект персональных данных») даю согласие на обработку персональных данных на этом сайте (текст Согласия) и на обработку персональных данных с помощью сервиса «Яндекс.Метрика» (текст Согласия).