The structure and nature of modern combat surgical trauma
The analysis of the structure and nature of the sanitary losses of the surgical profile in the armed conflicts of recent decades is based on the study of the medical records of 5895 wounded, as well as data from the available literary sources. A significant tendency was revealed for an increase in the frequency of mine - explosive wounds - from 16.7% (war in Afghanistan, 1979-1989) to 30.3% in later armed conflicts. In the structure, the leading localizations are currently injuries to the limbs (up to 71.7%) and the head (up to 21.6%), which may be associated with both a change in the nature of the conduct of hostilities (widespread use of explosive weapons) and the use of modern body armor, effectively protecting the chest and abdomen from most bullets and shrapnel. The data obtained make it possible to predict a further increase in the frequency of mine and explosive wounds in the structure of the incoming stream of wounded in future armed conflicts, which will undoubtedly require the medical service to adjust the organization and content of the corresponding treatment and evacuation measures.