Features of providing specialized surgical care for gunshot wounds of the neck with damage to hollow organs (larynx, trachea, pharynx, esophagus)

Abstract

The objective of this work is to share our experience in providing specialized surgical care to patients coming from stages of medical evacuation with wounds of hollow neck organs. A special military operation (SMO) takes place in an environment different from previous local wars. The nature of military operations and the saturation of the enemy's armed forces with new types of weapons gave a significantly higher number of wounded than previous local conflicts. The predominance of mine-explosive shrapnel wounds, different time intervals from injury to getting to the stage of specialized medical care for wounded with already existing purulent complications of gunshot wounds are the features of the SMO. Wounded with injuries of the hollow organs of the neck, entering the MMCH named after N.N. Burdenko from 3 to 6 days after injury, with already developed purulent complications, require comprehensive intensive therapy and participation in the treatment of specialists of various surgical specialties. An integrated approach with the compliance with the regulations of military-field surgery using new methods of diagnostics and treatment of wounds can improve the effectiveness of therapy and reduce the number of lethal outcomes. This article discusses diagnostic and treatment algorithms for different variants of neck wounds. The experience of the described cases of successful treatment of wounded with injuries of the hollow organs of the neck shows the possibilities of MMCH named after N.N. Burdenko in treatment using various methods, and can be useful to doctors of both the Ministry of Defense and the Ministry of Health of the Russian Federation.