Results of surgical treatment of gunshot wounds of the abdomen in a general surgical hospital

The conducted study of the immediate postoperative period in 165 civilian patients who received gunshot wounds to the abdomen. All the patients were in the war zone during the Chechen campaign and in the area of the special military operation. There were 108 (65,4 %) male patients, and 57 (34,5 %) female patients, i.e. male patients predominated. All the wounded were divided into two groups: Group A and group B. Group A included wounded with shrapnel wounds to the abdomen, and Group B included gunshot wounds. Group A included 87 (52,7 %) people, group B 78 (47,2 %). The study showed that gunshot wounds of the abdominal cavity are characterized by various injuries to internal organs. The most severe injuries, accompanied by numerous wounds, occur with shrapnel gunshot wounds. However, despite the greater number of singly damaged organs in group A, the immediate postoperative period was more severe in group B. So, of the 41,2 % of complications that were registered in the two compared groups, the largest number of them was noted in group B 27,3 %, while in group A their number was 13,9 %, the most severe complication, of which gunshot peritonitis can be distinguished. The development of this complication was noted in 22,4 % of cases, in group A in 9,7 %, in group B in 12,7 % of cases. The total number of deaths was 34,5 %, in group A 12,7 %, in group B 21,8 %. The analysis made it possible to identify the main factors that influence the development of complications and deaths and identify ways to reduce them.

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