• I. P. Khomenko
  • Ye. V. Tsema
  • К. V. Gumenuk
  • S. V. Tertyshnyi
  • V. Yu. Shapovalov
Keywords: multimodal approach, reconstruction of soft tissue gunshot wound, perforated vessel, flap.


Summary. Damage to the soft tissues of the human body is found both in peacetime and during the war, but the firearms nature has become relevant for Ukraine. Despite the experience gained surgery from previous wars in the treatment of gunshot injuries, there is still no generally accepted diagnostic scheme and classification for reconstructive closure of such specific injuries.

The aim. Demonstrate the features of various methods for diagnosing gunshot wounds of soft tissues proposed for reconstruction of a damaged area.

Results. In order to improve the quality of surgical care at the stages of medical evacuation, it is always necessary to carry out diagnostic procedures and treatment together. Sometimes it is impossible to implement medical care — it is on the front line, sometimes there is a lack of material resources — in the CDL, but it must be understood that the amount of diagnosis and treatment of a gunshot wound with soft tissue damage is always a difficult process.

Conclusions. A multimodal approach to diagnostics and dynamic observation in the reconstruction of soft tissue gunshot injury not only restores the integrity of the damaged anatomical structure but also increases the percentage of functional capacity.


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How to Cite
Khomenko, I. P., Tsema, Y. V., Gumenuk К. V., Tertyshnyi, S. V., & Shapovalov, V. Y. (2020). ORGANIZATION OF DIAGNOSTIC AND DYNAMIC OBSERVATION DURING RECONSTRUCTIVE RESTORATION OF GUNSHIRTING SOFT TISSUES. Kharkiv Surgical School, (2), 119-126.