UROLOGICAL WAR INJURIES. THERAPEUTIC MODALITIES DURING THE MEDICAL EVACUATION STAGES

The article summarizes the experience of domestic and foreign specialists in the field of treatment of combat urological injury at the stages of medical evacuation. First of all, we described the surgical tactics of treating the wounded at the stage of qualified care, where, as a rule, there is no urologist. Modern methods of treating urological trauma in a multidisciplinary medical center are considered. The article is supplemented with general information about the tactics of «damage control» and its private activities regarding urological trauma.

1. Amannazarov A. Patogeneticheski obosnovannoe lechenie zakrytyh povrezhdenij organov moshonki: Avtoref. dis. … d-ra med. Nauk. – SPb., 1996. – 46 s.

2. Dovlatyan, D.D. Travma organov mochevydelitel‘noj sistemy (klinika, diagnostika, taktika lecheniya): rukovodstvo dlya vrachej / D.D. Dovlatyan. – M.: BINOM, 2012. – 280 s.

3. Prakticheskoe rukovodstvo po Damage Control / pod red. I.M. Samohvalova, A.V. Goncharova, V.A. Revy. – 2-e izd. – SPb., 2020. – 420 s.

4. Pytel‘ Yu.A., Zolotarev I.I. Neotlozhnaya urologiya. – M.: Medicina, 1985. – 320 s.

5. Rohulla, O. Gnojnye oslozhneniya pri raneniyah mochevogo puzyrya / O. Rohulla, A.L. Groza // Nauch. konf. «Ranevaya infekciya. Vzryvnaya travma». Materialy konf. – Kabul, 1986. – S. 95–98.

6. Shevcov I.P., Gluhov Yu.D. Neotlozhnaya urologicheskaya pomoshch‘ v praktike voennogo vracha. – M: Voenizdat., 1988. – 316 s.

7. Shpilenya E.S., Kurenkov A.V., Gaziev A.H. Vojna i voennaya urologiya. Istoricheskie aspekty i sovremennoe sostoyanie problemy – SPb.: izdatel‘stvo SZGMU im. I.I. Mechnikova, 2020. – 55 s

8. Ukazaniya po voenno-polevoj hirurgii / pod red. I.M. Samohvalova. – SPb: VMedA, – 2021. – 488 s.

9. Metodicheskie rekomendacii po lecheniyu boevoj hirurgicheskoj travmy / D.V. Trishkin i [dr.]. – M: GVMU MO RF, – 2022. – 373 s.

10. Sergienko, N.F. Sovremennye boevye raneniya moshonki i ee organov / N.F.. Sergienko i [dr] // Hirurgiya. – 2006. – № 2. – S. 45–50.

11. DuBose, J., et al. Selective non-operative management of solid organ injury following abdominal gunshot wounds. Injury. – 2007. – Vol. 38, № 5. – Р. 1084.

12. Hope, W.W., et al. Non-operative management in penetrating abdominal trauma: is it feasible at a Level II trauma center? J Emerg. Med – 2012. – Vol. 43 – Р. 190.

13. Kitrey N.D., Djakovic N., Hallscheidt P., Kuehhas F.E., Lumen N., Serafetinidis E., Sharma D.M. European Association of Urology Guidelines on Urological Trauma: 2021 Update on Urological Trauma. Eur Urol. – 2021. – Vol. 80, № 5. – Р. 1102–1137.

14. Mingoli, A., et al. Operative and nonoperative management for renal trauma: comparison of outcomes. A systematic review and meta-analysis. Ther Clin Risk Manag. – 2017. – № 13. – Р. 1127.

15. Shefler, A., et al. [The role of nonoperative management of penetrating renal trauma]. Harefuah. – 2007. – Vol. 146. – Р. 345.