• I. P. Khomenko
  • K. V. Gumeniuk
  • S. O. Korol
  • E. V. Tsema
  • R. М. Mikhaylusov
  • V. P. Maidanyuk
  • S. V. Tertyshnyi
  • O. N. Popova
Keywords: a conflict of war, a hostile factor, gunshot wound.


Summary. The results of studying the main damaging factors of servicemen, it is necessary to consider a large number of components of a military conflict. The problem is that in some conflicts there is little data on the loss ratio. Ancient wars were not as familiar as modern ones. Data on ancient wars are sometimes exaggerated, or vice versa, in order to prevent a catastrophe in the military and political sense, they are underestimated. The study of the structure of combat trauma remains a very topical topic. In light of the development of medical and military science, it becomes possible to consider the problem as a multimodal scheme.

The aim of a view of the battle in the field of service every hour of the holding of a conflict.

Materials and methods for further development. In the peaceful hour of the middle of the civilian population, there are a lot of wounds in the fire, so they have to go for the crime of criminalization of the suspension, as well as in the case of non-merciless vapours on the edge, with the unprotected, unbearable weather in the winter.

The results of that discussion. The analysis of scientific information during the ATO / OUF showed that in the structure of sanitary losses of a surgical profile, injuries from ear problems to become 56.7 % — 62.6 %. to the most obvious, isolated character.

Conclusions. Clinical-epidemiological and clinical-anatomical pre-diagnoses reported that injuries due to splinter ears of children become 80.4 %, with cultivars — 13.1 %, with minor-explosive — 2.2 % and with explosive injuries.


1. Vognepal’nі poranennya m’yakih tkanin (dosvіd ATO/ OOS) pіd zagal’noyu redakcієyu V.І. Cimbalyuka — Harkіv: Kolegіum, 2020. 400 s.[In Ukr].
2. Doctor VS, Farwell DG. Gunshot wounds to the head and neck. Curr. Opin. Otolaryngol. Head. Neck. Surg.2007;15(4):213-8.
3. Yuksel F, Celikoz B, Ergun O, Peker F, Acikel C, Ebrinc S. Management of maxillofacial problems in self-inflicted rifle wounds. Ann. Plast. Surg. 2004;53(2): 111-7.
4. The Global Burden of Disease 2016 Injury Collaborators. Global Mortality From Firearms, 1990-2016. JAMA. 2018;320(8):792–814. doi:10.1001/jama.2018.10060.
5. Gumenyuk KV. Dosvіd nadannya kvalіfіkovanoї hіrurgіchnoї dopomogi poranenim v antiteroristichnіj operacії v umovah vіjs’kovogo mobіl’nogo gospіtalyu. Materіali HKHІІІ z‘їzdu hіrurgіv Ukraїni: Zb. nauk robіt. Kiїv, Klіn. hіrurgіya, 2015.
6. Bіlij VYA, ZHahovs’kij VO, Lіvіns’kij VG. Mіsce ta rol’ Voєnno-medichnoї doktrini Ukraїni u formuvannі sistemi medichnogo zabezpechennya vіjs’k і civіl’nogo naselennya u voєnnij chas. Nauka і oborona. 2015;1:9-14 [In Ukr].
7. Nazarova EO, Karpov SM, Apaguni AE, Vyshlova IA. Sovremennyj vzglyad na patogeneticheskie mekhanizmy travmaticheskoj bolezni pri politravme (obzor literatury) Vestnik novyh medicinskih tekhnologij, elektronnyj zhurnal. 2018;1:126-30 [In Rus.].
8. Savchenko VI. Osobennosti ranenij sovremennym ognestrel’nym oruzhiem. Pacific Medical Journal, 2003;3:13-7 [In Rus.].
9. Gumanenko EK, Samohvalov IM, Trusov AA. Hirurgicheskaya pomoshch’ ranenym v kontrterroristicheskih operaciyah na Severnom Kavkaze: stanovlenie voenno-polevoj hirurgii lokal’nyh vojn i vooruzhennyh konfliktov (soobshchenie sed’moe, zaklyuchitel’noe). Voenno-medicinskij zhurnal.2006;9 (327):19-28 [In Rus.].
10. Sirotko VV. Mnozhestvennaya i sochetannaya travma v strukture travmatizma. Vestnik Vitebskogo gosudarstvennogo medicinskogo universiteta. 2014;1(3):104-7 [In Bel].
11. Khouri JS, Brent MA, Egeland M, Daily SD, et al. The Keystone Island Flap: Use in Large Defects of the Trunk and Extremities in Soft — Tissue Reconstruction. Plastic and Reconstructive Surgery. 2011;127(3):1212-21.
12. Egorov VI, Kozarenko AV. Diagnostika i lechenie boevyh povrezhdenij uha. Al’manah klinicheskoj mediciny.2016;44(7):841-9 [in Rus].
13. Steingrimsson SM. Gottfredsson, I. Gudmundsdottir. Negativepressure wound therapy for deep sternal wound infections reduces the rate of surgical interventions for early reinfection. Interact. Cardiovasc. Thorac. Surg. 2012;15(3):406-10.
14. Yoshino Y, Ohtsuka M, Kawaguchi M, Sakai K. The wound/burn guidelines. Wound/Burn Guidelines Committee. J Dermatol.2016;43(9):989-1010.
15. Gavande A. Casualties of war — Military care for the wounded from Iraq an
How to Cite
Khomenko, I. P., Gumeniuk, K. V., Korol, S. O., Tsema, E. V., MikhaylusovR. М., Maidanyuk, V. P., Tertyshnyi, S. V., & Popova, O. N. (2021). DETERMINATION OF THE LEADING TYPE OF IMPROVEMENTS OF SERVICEMANTS IN MODERN MILITARY CONFLICTS. Kharkiv Surgical School, (2), 128-133.

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