Retained bullet in the neck after gunshot wounds to the chest and arm in combat patient injured in the war in Ukraine: A case report.

Introduction And Importance: A gunshot wound is the most common injury in armed conflicts, resulting in severe trauma and increased morbidity usually due to damage to major vessels. Gunshot injury could be associated with the projectile location in one anatomical area, but the initial inlet place in another.

Presentation Of Case: A 33-years old male patient received gunshot injuries to the left axillary area of the chest and left upper extremity in the battlefield area near Kyiv (Ukraine).

A Case of Surgical Treatment of a Gunshot Wound to the Left Scapular Region With Damage to the Distal Axillary and Proximal Brachial Arteries.

Introduction: The incidence of vascular damage in modern combat conflicts is 5 times higher than in previous military conflicts, with one in five wounded having uncontrolled severe blood loss. Treatment of gunshot wounds of the main arteries is a complex multi-level process, which can be done only in the case of close cooperation of related surgical specialties.

Case Report: This case report details treatment of a 40-year-old man who was admitted with a gunshot wound to the left shoulder with injury of the distal axillary and proximal brachial arteries.

DYNAMICS OF ULTRASTRUCTURAL REARRANGEMENTS OF SKELETAL MUSCLE FIBROBLASTS AFTER SIMULATED GUNSHOT SHRAPNEL WOUNDS.

Purpose of the study the peculiarities of rearrangements of skeletal muscle fibroblasts surrounding the wound canal at various times after an experimentally modeled gunshot shrapnel wounds. Experimental modeling of gunshot shrapnel wounds of soft tissues has been carried out on 20 laboratory animals - breeding rabbits of the breed «Chinchilla». To laboratory animal was caused a gunshot wound in the sartorius area with the gun «Fort-12» caliber 9 mm.

[The choice of surgical strategy for patients with obstructive jaundice and high risk of multi-organ insufficiency syndrome].

We examined 128 patients with obstructive jaundice of non-tumoral genesis that were surgically treated. We studied the immune status and plasma concentration of interleukine-8 in pre-operation period in order to predict the polyorganic insufficiency (PI) risk. Depending on the results obtained, patients were divided into groups defined as those of low or high risk of PI.