Vestnik khirurgii imeni I. I. Grekova
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Vestn. Khir. Im. I. I. Grek. · Jan 1996
[The diagnosis and treatment of injuries to the major vessels of the extremities and neck in wartime].
During the time of rendering special angiosurgical aid in the zone of military operations near the city of Gagra 28 wounded with gunshot injuries of major vessels of the neck and extremities were operated upon, which was 4.5% of all the wounded. Different procedures on the vessels were performed immediately after diagnosing the injuries within minimum terms after wounds in parallel with antishock measures. ⋯ Thrombosis of the restored arteries was noted in 4 out of all the patients operated upon. The extremity had to be amputated because of thrombosis of the operated artery in 2 cases only which made up 7.2% of all the interventions performed.
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Vestn. Khir. Im. I. I. Grek. · Jan 1995
Case Reports[Surgical treatment in stab and cut wounds of the neck with esophageal injury].
The author describes methods of surgical treatment of people wounded in the neck area with injuries of the esophagus. Clinical observations are presented which show that breach of the rules of revision of the wound canal and organs of the neck will inevitably lead to a diagnostic error. The method and volume of the surgical intervention for wounds of the esophagus depend on the kind of the injury and time from the moment of trauma.
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Clinical investigations performed in 735 patients have shown that in addition to the improvement of organisation of the medical aid and the universally recognized resuscitation measures for trauma shock, the prophylactics and treatment of intoxication, metabolic, immune and other disorders developing in the patients soon after trauma should be started as early as at the prehospital step.