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Документ Application of endovideosurgical technologies in the treatment of ventral herniations after gunshot wounds of the abdomen(Department of Physical Culture, Faculty of Earth Sciences and Spatial Management, Nicolaus Copernicus University in Toruń, Poland, 2021) Shapovalov, V. Y.; Herasymenko, O. S.; Yenin, R. V.; Koshikov, M. A.; Haida, Y. I.; Herasymenko, S. D.; Герасименко, Сергій Давидович; Герасименко, Сергей Давыдович; Muradyan, K. R.; Okolets, A. V.Gunshot wounds of the abdomen are often accompanied by a significant destruction of the abdominal cavity with the development of peritonitis, and in the future - various complications (failure of anastomoses, abscess formation, repeated bleeding, etc.), which requires repeated surgical interventions, and as a consequence - the formation of postoperative ventral hernias. The aim of the study is to improve the results of surgical treatment of ventral hernias after gunshot wounds of the abdomen due to the use of laparoscopic techniques. The analysis of treatment of 21 patients with postoperative ventral hernias formed as a result of operations concerning gunshot wounds of the abdomen was carried out. 14 wounded suffered one operation on the abdominal organs in the past (66.7%), 5 - two operations (23.8%), 1 - three operations (4.8%), 1 - five operations (4.8%). The dimensions of the hernial gates and the risk of recurrence were determined according to the SWE classification: W1 - 9 patients (42.9%), W2 - 8 (38.1%), W3 - (9.5%), W4 - 2 (9.5%). The third patients underwent laparoscopic allogernioplasty according to the IROM technique with a Teflon allograft, which was fixed in 2 cases with the help of a hernostepler, in the 1st - with transdermal separate seams with Teflon filament. Complications after laparoscopic operations were not. The use of laparoscopic techniques can significantly reduce bed-day, avoid the development of abdominal compartment syndrome, previously to activate the patient. Laparoscopic allogernioplasty according to the method of IPOM by the Teflon graft is considered to be the operation of choice.Документ Optimization of diagnostics of combat injuries of the abdomen(Department of Physical Culture,Faculty of Earth Sciences and Spatial Management, Nicolaus Copernicus University in Toruń, Poland, 2021) Herasymenko, O. S.; Shapovalov, V. Y.; Yenin, R. V.; Koshikov, M. A.; Haida, Y. I.; Herasymenko, S. D.; Muradyan, K. R.; Okolets, A. V.; Герасименко, Сергій Давидович; Герасименко, Сергей ДавыдовичThe aim - to optimize the diagnostic scheme for combat abdominal injuries at the II level of medical care by identifying the most informative and fast instrumental diagnostic methods. A clinical and statistical analysis of the results of surgical treatment of 496 wounded with combat abdominal injuries treated in military mobile hospitals from June 2014 to August 2017 was carried out. Additional diagnostic tests were conducted for the injured with BPH in the comparison groups - FAST protocol, laparocentesis and diagnostic laparoscopy. In the general array of the study (n = 496), the FAST protocol was performed by 208 wounded (41.9%), laparocentesis - 270 (54.4%), video laparoscopy - 103 (20.8%). The number of emergency ultrasound studies in the volume of the FAST protocol with combat abdominal injuries in group 1 was 19.2%, in group 2 - 40.7%, in group 3 - 66.5%. A more frequent FAST protocol for injured with BPG at level II of medical care in groups 2 and 3 resulted in a decrease in the number of laparocentesis performed from 68.3% (in group 1) to 38.6% (in group 3), and an increase in the number of video laparoscopic studies from 14.9% (in group 1) to 26.6% (in group 3), most of which turned into therapeutic laparoscopy. The data obtained indicate that the widespread introduction of the FAST protocol into the PID diagnosis scheme at the II level of medical care helps to reduce the number of invasive (often unfounded) methods, namely, laparocentesis and diagnostic laparotomy, reduce the time spent on diagnosis and the choice of optimal surgical tactics.