Surgical Management of Gunshot Wounds of Extremities in Multiprofiled Hospital
1809 patients with gunshot wounds admitted to the emergency department of the Hospital named after I.I. Mechnikov in the period from 9/05/2014 till 9/01/2016 from anti-terrorist operation zone. Among the total quantity 978 victims (54 %) had gunshot wounds of extremities. Gunshot-associated fractures (31.5%) were registered in every third case. The surgical management of gunshot wounds depends on severity of patients’ conditions. In stable patients with gunshot fractures (90.8 %) surgical manipulation of fracture and osteosynthesis with external fixation apparatus were performed. The method «damage control» for non-stable and severe patients (9.2 %) with bones damages was used. Gunshot wounds of extremities are severe damages and basic principle of their treatment is consistent initial and repeated surgical manipulation of wounds together with complex antishock theraphy which prevents development of severe purulent complications, even in significant damages.