Treatment plan used for vascular injuries in the Afghanistan war.

The outcome of 961 patients with vascular injuries received in the Afghanistan war is reported. Some 755 (78.6%) patients had to have a primary amputation while only 206 (20.

Indications for surgery in penetrating chest injuries.

This study is concerned with the outcome of treatment of 933 patients with penetrating gunshot chest injuries at the Medical Academy in Afghanistan. The most important factors to determine the choice of management were the general state of the patient, the type and location of the injury and the arrival time. 326 (34.

[Treatment of injuries of major blood vessels of the extremities].

The article analyzes an experience with operative treatment of 202 patients with penetrating injuries of major vessels of the extremities. It was found that the degree of regional ischemia state of collaterals and soft tissues rather than the time after trauma are determining factors for the reestablishment or arterial blood flow. Reestablishment of the arterial blood flow was reached in 64.

[The indications for surgical methods in treating diseases of the coronary arteries].

Included in the study were 236 operations for ischemic heart disease (IHD) aorto-coronary shunt (ACS)--88 patients; ACS + aneurysmectomy--30; ACS + endarterectomy--12, aneurysmectomy--70; skin endocoronary balloon angioplasty--34, heart transplantation--2. The postoperative mortality was 6.5 per cent.