The organisation of using videolaparoscopy in military field hospital in conditions of antiterroristic operations in easter Ukraine
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616-001.31-089-057.3 (1)
Патология. Клиническая медицина (6987)
SM ISO690:2012
KHOMENKO, I., KHOROSHUN, E., KASHTALIYAN, M., SHAPOVALOV, V, GERASIMENKO, O., ENIN, R.. The organisation of using videolaparoscopy in military field hospital in conditions of antiterroristic operations in easter Ukraine. In: Arta Medica , 2019, nr. 3(72), p. 62. ISSN 1810-1852.
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Arta Medica
Numărul 3(72) / 2019 / ISSN 1810-1852 /ISSNe 1810-1879

The organisation of using videolaparoscopy in military field hospital in conditions of antiterroristic operations in easter Ukraine

CZU: 616-001.31-089-057.3

Pag. 62-62

Khomenko I.1, Khoroshun E.2, Kashtaliyan M.2, Shapovalov V2, Gerasimenko O.3, Enin R.2
 
1 Ministry of Defence of Ukraine,
2 Military-Medical Clinical Centre of south region, Odessa,
3 Odessa National Medical University
 
 
Disponibil în IBN: 8 aprilie 2020


Rezumat

Background: Improvement of the medical support for injured in the region of anti-terroristic operation by using endovideo surgical techniques in the hospitals of the 2-3nd Echelon. Methods and materials: In June 2014 mobile military hospital was set up for providing qualiied surgical help to warriors in the region of eastern Ukraine. 1460operations (62 laparoscopic) were carried out during irst 9 months. Results: We use data of 23 patients sufered under abdomen and pelvis injuries: 18 had missile and gunshot wounds, 5 had closed traumas. Acute diseases of the abdomen cavity were diagnosed 39 patients. The penetrative character of shoot wound was excluded by 6 patients using the diagnostic laparoscopy. Out of 5 patients with closed traumas of abdomen, injuries of internal organs were identiied in 2 cases, operations were inished laparoscopically. Sufering from urgent diseases of the abdomen cavity organs, 10 patients underwent the laparoscopic appendectomy for acute appendicitis; 2 persons - the laparoscopic diverticulectomy for Meckel’s diverticulitis; in 3 cases the ovarian apoplexy and haemoperitoneum were detected during the laparoscopy, the laparoscopic resection of ovarium was performed; 1 patient underwent laparoscopy for pancreonecrosis, 20 laparoscopic cholecystectomy for acute calculous cholecystitis; one laparoscopic cholecystectomy for cancer of the pancreas, obstructive jaundice; 2 patients had laparoscopic suturing of perforative ulcers in duodenum. Conclusion: Well-founded approaches of treatment and diagnosis of shoot wounds of abdomen and pelvis by using the video laparoscopic equipment in the ield conditions (irst time in the Ukrainian history) were performed. Application of the endovideo surgical technics allowed avoiding 20 useless laparotomies.

Cuvinte-cheie
laparoscopy, injury, Mobile ield hospital