Kharkiv Surgical School最新文献

{"title":"MULTI-LEVEL OCCLUSIVE-STENOTIC LESIONS OF THE MAIN ARTERIES OF THE INFRARENAL AORTA IN PATIENTS WITH ATHEROSCLEROSIS: ANALYSIS OF TREATMENT AND COMPLICATIONS","authors":"V. Shaprynskyi","doi":"10.37699/2308-7005.2.2022.09","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.09","url":null,"abstract":"Resume. The Aim. To analyze the effectiveness of surgical treatment and postoperative complications in patients with multilevel occlusive-stenotic lesions of the main arteries (MOSLMA) of the infrarenal aorta. \u0000Materials and methods. The results of treatment and complications in 51 patients with (MOSLMA) of lower extremities, as a result of obliterating atherosclerosis, were analyzed. Of these, 42 (82.4 %) had two and 9 (17.6 %) three-level lesions. A total of 7 balloon angioplasties and 13 stentings were performed for two and three level lesions in which the iliac arterial segment was affected. Only balloon angioplasty was used for revascularization of the infrainguinal segments. \u0000Results and discussion. In general, regression of ischemia was achieved in 48 (94 %) patients. Of the complications in the early postoperative period, retrombosis was diagnosed in 6 patients. In 3 of them, the limb was saved by thrombolytic therapy and angioplasty. The other 3 patients underwent limb amputation. Mortality in the early postoperative period was 3.9 % (2 patients died as a result of myocardial infarction). An example of successful treatment of a patient with (MOSLMA) and previously stented superficial femoral artery is given. \u0000Conclusions. Patients with (MOSLMA) are a complex category with predominantly aggravated comorbidity. The optimal method of revascularization is endovascular. Arterial puncture under ultrasound guidance helps to reduce complications such as hematomas and false aneurysms. The introduction of a clear algorithm based on preoperative assessment of anatomical and hemodynamic lesions of the arteries, taking into account the severity of the patient’s condition, can give good treatment results.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"189 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116334646","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"OF RECONSTRUCTIVE SURGERY IN PATIENTS WITH COLOSTOMY","authors":"V. Boyko, D. Yevtushenko, S. O. Nemenko, I. G. Fursov","doi":"10.37699/2308-7005.2.2022.15","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.15","url":null,"abstract":"Abstract. Literature data on the results of reconstructive surgery in patients with previously imposed colostomy were analyzed. Colostomy application varies from 7 to 63 %. Failure of the seams of the intestinal anastomoses remains a topical issue of abdominal surgery. The incidence of such complications, according to various authors, reaches 3.8–14.6 % — in operations on the colon. The issue of restoring the integrity of the large intestine is quite relevant for colorectal surgery, colostomy varies from 7 to 63 %. Despite the improvement of existing and development of new methods of reconstructive surgery, the active use of intraoperative and postoperative diagnostic methods, it is not possible to completely avoid complications. The incidence of failure of the sutures of colonic anastomoses reaches 3.8–14.6 %. Further study and development of methods of reconstructive surgery after colostomy is needed to minimize the number of postoperative complications and improve the treatment outcomes of patients with colorectal pathology.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115680531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A RARE COMPLICATION OF THE OPERATED STOMACH DISEASE WITH THE FORMATION OF AN EXTERNAL GASTRIC FISTULA","authors":"V. Shaprynskyi, V. Suleimanova, V. Kryvetskiy, V. P. Slyvka","doi":"10.37699/2308-7005.2.2022.16","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.16","url":null,"abstract":"Summary. Stomach and duodenum ulcer occupies a leading place among the surgical diseases of the digestive organs (6–10 % of the population). Operated stomach diseases can be occurred in operated patients as a complication of resections (up to 35 % of cases), and often requires timely diagnosis and repeated invasive reconstructions of the gastrointestinal tract. The aim of the research is to present a clinical case of patient with an atypical course of the operated stomach disease and to highlight the main stages of the diagnostic and treatment algorithm. \u0000Materials and methods. Analysis of medical publications for the last 5 years, devoted to the clinic, diagnosis and treatment of the operated stomach disease, and analysis of a clinical case of a patient with a rare complication of this pathology. \u0000Results and discussion. The presented patient underwent Billroth II stomach resection for duodenum peptic ulcer in 2016. In 2021, a left chest wall fistula with suppuration appeared. According to the examination in the hospital (contrast fistulography followed by fibroesophagogastroscopy), the penetration of the stomach stump peptic ulcer into the left costal rib arch with the formation of an external gastric fistula was discover. The patient was operated on using «Laparotomy, stomach resection followed by end-to-end gastroenteroanastomosis reconstruction, Roux entero-enteroanastomosis» with simultaneous excision of the left costal rib arch fistula. In the postoperative period, the wounds healed per prima. The patient was discharged in satisfactory condition. \u0000Conclusions. The presented case is a casuistic rare complication of the operated stomach disease. Contrast fistulography followed by fibroesophagogastroscopy is useful to establish the cause of the fistula, which is an indication for repeated reconstructive surgery on the stomach stump and gastroenteroanastomosis with excision of the rib arch fistula. To prevent this complication, we recommend scheduled fibroesophagogastroscopy once a year.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122506717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"TWO-STAGE SURGICAL TREATMENT OF ULCEROUS-NECROTIC ENTERITIS COMPLICATED BY PERFORATION AND GENERAL PERITONITIS IN A PATIENT WHO UNDERWENT TOTAL COLECTOMY","authors":"V. Makarov, V. M. Feskov, R. Shevchenko, D. S. Prijmenko","doi":"10.37699/2308-7005.2.2022.08","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.08","url":null,"abstract":"Abstract. The purpose of the message is to inform the medical community about a rare clinical observation – the case of ulcerous-necrotic enteritis complicated by peritonitis due to numerous bowel wall perforations in a patient who underwent total colectomy with application of ileorectal anastomosis for idiopathic megacolon more than 30 years ago. \u0000Materials and methods. The results of objective and instrumental methods of diagnosis, as well as the data of intraoperative findings were analyzed. The choice of surgical approach is based on the incisive analysis of the detected changes. \u0000Results and discussion. A serious problem was the impossibility of correct surgical elimination of the source of peritonitis during the first surgical intervention. Therefore, the decision on staged correction was taken. \u0000Conclusions: when it is not possible to perform a correct single-step surgical elimination of the source of peritonitis in case of ulcerous-necrotic enteritis, the surgical treatment should be carried out in incremental steps. Relaparotomy “at request” is an operation of choice. The decision on the timing of reintervention should be patient-specific.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"77 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115982866","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PURULOUS POST-TRAUMATIC MEDIASTINITIS AS A COMPLICATION OF FLAMMABLE PENETRATING WOUNDS OF THE BREAST","authors":"V. Boyko, P. M. Zamіatin, V. Krytsak, D. P. Zamіatin, O. Shevchenko, Yu. M. Bunin","doi":"10.37699/2308-7005.2.2022.11","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.11","url":null,"abstract":"Abstract. The purpose of the study. Dissemination of ideas about the peculiarities of the course of post-traumatic purulent mediastinitis, against the background of penetrating gunshot wounds of the chest for further improvement of diagnosis and treatment of this formidable complication. \u0000Material and methods. The study is based on the analysis of 30 observations of post-traumatic purulent mediastinitis, and 13 (32 %) of the injured were characterized by the predominance of phlegmon of the mediastinum, and in 17 (68 %) — observations of limited suppuration of the mediastinum dominated. \u0000Results and discussion. The average age at mediastinal phlegmon was 20 % higher compared to observations of limited mediastinal suppuration (37.2 and 44.6 years, respectively). The vast majority of the wounded were in the most working age (21–50 years): 82.8 % and 63.6 %, respectively. Abscesses were more often localized in the anterior mediastinum (33.3 %), while in case of phlegmon, tissue of the posterior mediastinum was more often involved or a total lesion of the mediastinum was observed (64.7 %). The maximum lethality (35.1 %) was observed with phlegmon of the posterior mediastinum or with a total lesion of the mediastinum, and the minimum – with abscesses of the anterior mediastinum (5.5 %). \u0000Conclusions. Thus, the work considered 30 cases of post-traumatic purulent mediastinitis, and 13 (32 %) of the wounded were characterized by the predominance of phlegmon of the mediastinum, and in 17 (68 %) — limited suppuration of the mediastinum dominated. All of the above indicates the need for further in-depth study of this complex and still not fully resolved problem.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114478569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"DIAGNOSIS AND SURGICAL CORRECTION OF ANATOMICAL AND TOPOGRAPHIC CHANGES IN CASE OF COMPLICATED HIATAL HERNIAS","authors":"B. Shevchenko, N. Prolom, O. Babii, O. V. Zeleniuk, S. Tarabarov, O. Galinsky","doi":"10.37699/2308-7005.2.2022.01","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.01","url":null,"abstract":"Resume. The aim of the study: improving the efficiency of surgical treatment for patients with hiatal hernia (HH) and HERD with reflux esophagitis through the development of a step-by-step method of surgical treatment aimed at saving and improving the anatomical and topographic solutions of the physiological cardia. \u0000Materials and methods. In 2017-2021, 78 patients with HH were examined and treated at the Department of Digestive Surgery of the Institute of Gastroenterology of the National Academy of Medical Sciences of Ukraine, and in 16 (20, 8%) patients with HH in combination with GERD with reflux esophagitis. To confirm the diagnosis of HH and GERD, all patients undergo radiography, endoscopic examination, examination of pressure at the level of lower esophageal sphincter (LES). \u0000Results of the research. After the follow-up examination, found in 16 (20.8 %) patients with reflux esophagitis (in 3 (3.8 %) patients — esophageal ulcers). In 3 (3.8 %) patients with HH and GERD in combination with esophageal ulcer was treated in stages. The first stage of treatment was conservative therapy. After a course of therapy during endoscopic examination, esophageal stricture was detected. The second stage of treatment was balloon dilatation of the esophageal stricture. The third stage of treatment was antireflux surgery, which was performed in 78 (100 %) patients, in 11 (14.1 %) patients with HH, a new method of surgical correction of insufficiency of physiological cardia was proposed. \u0000Conclusions. The use of phased treatment of patients with HH and GERD with reflux esophagitis complicated by esophageal stricture and the proposed method of antireflux surgery ensures the elimination of pathological changes in HH, restores physiological cardia and preserves the anatomical relationship of the diaphragm and esophagus. In the postoperative period, the proposed method of surgical treatment reduces the likelihood of insufficiency of physiological cardia, dysphagia and recurrence of HH.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"75 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124187609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"SEVERITY AND PROGNOSIS ASSESSMENT CRITERIA FOR PURULENT-INFLAMMATORY DISEASES","authors":"O. E. Kanikovskyi, O. Bondarchuk, S. V. Sander, V. Kroshka, O. M. Lopushanskyi","doi":"10.37699/2308-7005.2.2022.07","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.07","url":null,"abstract":"Summary. The aim is to determine simple, easily accessible criteria for assessing the severity and prediction of the course of purulent processes. \u0000Materials and methods. 161 patients with purulent processes were examined. The dependence of the duration of treatment on the type of pathology, sex, age, body temperature, the number of leukocytes in the peripheral blood, the presence of pathological changes in the urine, the duration from the onset of the disease to the beginning of treatment was studied. Signs were coded in points. The rank correlation coefficient (ρ) between the duration of treatment and the above symptoms, its error (mρ) and the confidence criterion (t) were calculated. \u0000Research results and their discussion. A strong and direct relationship was noted between the nature of the pathology, body temperature, age of the patient and duration of treatment (р˂0.001). The presence of pathological changes in the urine, leukocytosis has a medium-intensity connection with the duration of treatment and a reliable correlation (р˂0.05). The average duration of treatment was 15.2±0.5 days. If this duration is taken as the limit in the case of a favorable course, then the prognosis is favorable for patients who have a total score of the specified criteria of no more than 24. In patients with a total score of more than 24, the prognosis is serious. They are shown radical surgical treatment of the abscess, combined antibiotic therapy, detoxification therapy, and intensive local treatment. \u0000Conclusions. To assess the severity of a case of purulent-inflammatory disease, determine the prognosis and develop treatment tactics, informative signs are the nature of the pathology, the temperature reaction, the age of the patient, the number of leukocytes in the peripheral blood, and pathological changes in the urine. These criteria can also be used for comparative characteristics of different groups of patients.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122918102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"PALLIATIVE SURGICAL TREATMENT OF UNRESECTABLE TUMORS OF THE HEAD OF THE PANCREAS COMPLICATED BY MECHANICAL JAUNDICE AND DUODENAL OBSTRUCTION BY STENTING OF THE BILIARY SYSTEM AND DUODENUM WITH NITINOL STENTS","authors":"B. Bezrodnyi, I. Kolosovich, V. P. Slobodjanyk, O. M. Petrenko, M. Filatov","doi":"10.37699/2308-7005.2.2022.06","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.06","url":null,"abstract":"Summary. The development of new technological solutions for palliative surgical treatment of patients with unresectable pancreatic cancer is relevant because the frequency of postoperative complications in such patients reaches 25 % and mortality — 20 %. \u0000Objective. Improve the diagnosis and immediate results of palliative surgical treatment of patients with unresectable pancreatic cancer complicated by mechanical jaundice and duodenal obstruction. \u0000Materials and methods. A comparative analysis of the results of surgical treatment of two groups of patients (11 patients in the first and 27 in the second) for unresectable pancreatic cancer complicated by mechanical jaundice and gastric evacuation disorders due to duodenal obstruction. Patients of group I performed only biliodigestive shunting by open surgery. Patients in group II obstruction of the bile ducts and duodenum was removed by endoscopic stenting of the biliary system and duodenum with nitinol stents. \u0000Results. It is proved that endoscopic stenting of the biliary system and duodenal obstruction by nitinol stents, compared with open surgery, is accompanied by a lower frequency of postoperative complications (72.7 % vs. 22.2 %, p < 0.05), mortality (27.3 % vs. 0 %, p < 0.001) and reduction of hospital stay (from (24.3 ± 3.74) to (8.7 ± 0.91) days, p <0.001). \u0000Conclusions. The operation of choice of palliative surgical treatment of patients with unresectable pancreatic cancer complicated by mechanical jaundice and evacuation disorders from the stomach, with a high risk of surgery (ASA III), is to perform endoscopic transpapillary stenting of the bile ducts and duodenum.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126386149","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"NEUTROPHIL-LYMPHOCYTE RATIO AS AN EARLY PROGNOSTIC PREDICTOR OF THE COURSE OF ACUTE PANCREATITIS","authors":"T. Formanchuk, V. Shaprinskiy, O. M. Lopushanskiy","doi":"10.37699/2308-7005.2.2022.02","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.02","url":null,"abstract":"Summury. Introduction. One of the laboratory markers that can be used both to determine the severity of the systemic inflammatory response and to predict the further course of acute pancreatitis (AP) is the neutrophil-lymphocyte ratio (NLR). \u0000The aim of our work was to study the dynamics of changes in the NLR indicator on 1, 3 and 5 days after hospitalization in groups of patients with AP. \u0000Materials and methods: The data of 99 patients with AP of moderate severity and severe who were treated in the department of surgery and intensive care unit of the Vinnytsia city clinical emergency hospital for the period from January 2018 to December 2020 were analyzed. The diagnosis of AP was made based on the criteria of Atlanta, 2012. All patients were divided into two groups. The group of patients who survived consisted of 78 patients and 21 patients who died, respectively. NLR was calculated on the 1st, 3rd and 5th day after hospitalization of patients in a hospital in each group and the reliability of the difference of this indicator was evaluated. Results and discussion: The NLR on the day of hospitalization in the group of the dead did not differ significantly from the group of survivors and was (11,6±2,7) and (10,6±2,1), respectively (p>0,05). On the third day of hospital stay, despite infusion therapy, there was a significant increase in the NLR index in the group of the deceased to (13,8±4,6) and its decrease in the group of patients who survived to (6,8±2,3) (p<0,0001). On the fifth day of hospital stay, there was a decrease in the level of NLR in the group of the dead to (7,7±1,5), with a significant difference compared to the group of patients who survived — (7,0±1,7) (p<0,05). Conclusions: In this study, we did not find a significant difference in the NLR index on the 1st day of hospitalization in the groups of deceased patients with AP and surviving patients (p>0,05), however, we observed a sharp, significant increase in the NLR index on the 3rd day in the group of patients, who died compared to the group that survived (p<0,0001). On the 5th day after the hospitalization of the patients, against the background of the infusion therapy, a decrease in the NLR index was noted in both groups of patients to almost the same level, while maintaining a reliable difference between them (p<0,05).","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125233656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"FEATURES OF THE K EY TYPE AND CHARACTER OF FIRE INJURIES OF MILITARY PERSONNEL DURING MODERN ARMED CONFLICTS","authors":"I. Lurin, I. Khomenko, K. Gumeniuk, S. Korol, I. Tsema, S. Tertyshnyi, O. Popova","doi":"10.37699/2308-7005.2.2022.12","DOIUrl":"https://doi.org/10.37699/2308-7005.2.2022.12","url":null,"abstract":"Summary. The results of studying the main damaging factors of servicemen, it is necessary to consider a large number of components of a military conflict. The problem is that in some conflicts there is little data on the loss ratio. Ancient wars were not as familiar as modern ones. Data on ancient wars are sometimes exaggerated, or vice versa, in order to prevent a catastrophe in the military and political sense, they are underestimated. The study of the structure of combat trauma remains a very topical topic. In light of the development of medical and military science, it becomes possible to consider the problem as a multimodal scheme. \u0000The aim of a view of the battle in the field of service every hour of the holding of a conflict. \u0000Materials and methods for further development. In the peaceful hour of the middle of the civilian population, there are a lot of wounds in the fire, so they have to go for the crime of criminalization of the suspension, as well as in the case of non-merciless vapours on the edge, with the unprotected, unbearable weather in the winter. \u0000The results of that discussion. The analysis of scientific information during the ATO / OUF showed that in the structure of sanitary losses of a surgical profile, injuries from ear problems to become 56.7% – 62.6% to the most obvious, isolated character. \u0000Conclusions. Clinical-epidemiological and clinical-anatomical pre-diagnoses reported that injuries due to splinter ears of children become 80.4 %, with cultivars — 13.1 %, with minor-explosive — 2.2 % and with explosive injuries.","PeriodicalId":405037,"journal":{"name":"Kharkiv Surgical School","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122255842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}