Application of surgical magnet instruments for diagnosis and pulling out of ferromagnetic foreign bodies of abdominal cavity in the battle gun–shot trauma
Objective. To determine the possibility and expediency of application of ferromagnetic instruments for diagnosis and pulling out of the abdominal cavity foreign bodies in the battle gun–shot trauma, including application of miniinvasive technologies. Materials and methods. In the investigation 15...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Liga-Inform ltd.
2022-12-01
|
| Series: | Клінічна хірургія |
| Subjects: | |
| Online Access: | https://hirurgiya.com.ua/index.php/journal/article/view/1033 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849248710820626432 |
|---|---|
| author | O. Yu. Usenko І. A. Lurin K. V. Gumenuk V. V. Nehoduiko P. M. Mikhaylusov A. P. Ryzhenko R. V. Saliutin |
| author_facet | O. Yu. Usenko І. A. Lurin K. V. Gumenuk V. V. Nehoduiko P. M. Mikhaylusov A. P. Ryzhenko R. V. Saliutin |
| author_sort | O. Yu. Usenko |
| collection | DOAJ |
| description | Objective. To determine the possibility and expediency of application of ferromagnetic instruments for diagnosis and pulling out of the abdominal cavity foreign bodies in the battle gun–shot trauma, including application of miniinvasive technologies.
Materials and methods. In the investigation 154 patients took part, including 110 (71.4%) with application of open laparotomy access, аnd 44 (28.6%) – using laparoscopic technologies. While doing open laparotomy interventions magnet surgical instruments were applied.
Results. The magnet instruments were used in 2.5 times more frequently in open laparotomy accesses, than in the laparoscopic.There was established, that the average duration of search and pulling out of foreign bodies without application of special instruments have constituted (21 ± 2.2) min, while with it – (10 ± 1.2) min only, what is in 2 times lesser (p˂0.05). When special instruments were used, 98% of foreign ferromagnetic bodies were pulled out from abdominal cavity, while without it – 34% only, causing necessity to perform the staged interventions for their pulling out.
Conclusion. Practical introduction of the magnet instruments proposed permits to reveal the majority of the ferromagnetic foreign body quantity with lesser time loss for their search, localization and pulling out, what is very important in conditions of military–field surgery. Foreign body of the gun–shot origin in patients, suffering penetrating abdominal wounding, demonstrated visually, palpatory or instrumentally, must be pulled out. |
| format | Article |
| id | doaj-art-c6f5b91c287244d2818f211bb25a5791 |
| institution | Kabale University |
| issn | 0023-2130 2522-1396 |
| language | English |
| publishDate | 2022-12-01 |
| publisher | Liga-Inform ltd. |
| record_format | Article |
| series | Клінічна хірургія |
| spelling | doaj-art-c6f5b91c287244d2818f211bb25a57912025-08-20T03:57:47ZengLiga-Inform ltd.Клінічна хірургія0023-21302522-13962022-12-01897-8303410.26779/2522-1396.2022.7-8.301033Application of surgical magnet instruments for diagnosis and pulling out of ferromagnetic foreign bodies of abdominal cavity in the battle gun–shot traumaO. Yu. Usenko0І. A. Lurin1K. V. Gumenuk2V. V. Nehoduiko3P. M. Mikhaylusov4A. P. Ryzhenko5R. V. Saliutin6Shalimov National Institute of Surgery and Transplantology, KyivNational Academy of Medical Sciences of Ukraine, KyivHeadquaters of Medical Forces of Military Forces of Ukraine, KyivMilitary–Medical Clinical Centre of Northern Region, KharkivKharkiv Medical Academy of Postgraduate EducationMilitary–Medical Clinical Centre of Central Region, VinnytsyaShalimov National Institute of Surgery and Transplantology, KyivObjective. To determine the possibility and expediency of application of ferromagnetic instruments for diagnosis and pulling out of the abdominal cavity foreign bodies in the battle gun–shot trauma, including application of miniinvasive technologies. Materials and methods. In the investigation 154 patients took part, including 110 (71.4%) with application of open laparotomy access, аnd 44 (28.6%) – using laparoscopic technologies. While doing open laparotomy interventions magnet surgical instruments were applied. Results. The magnet instruments were used in 2.5 times more frequently in open laparotomy accesses, than in the laparoscopic.There was established, that the average duration of search and pulling out of foreign bodies without application of special instruments have constituted (21 ± 2.2) min, while with it – (10 ± 1.2) min only, what is in 2 times lesser (p˂0.05). When special instruments were used, 98% of foreign ferromagnetic bodies were pulled out from abdominal cavity, while without it – 34% only, causing necessity to perform the staged interventions for their pulling out. Conclusion. Practical introduction of the magnet instruments proposed permits to reveal the majority of the ferromagnetic foreign body quantity with lesser time loss for their search, localization and pulling out, what is very important in conditions of military–field surgery. Foreign body of the gun–shot origin in patients, suffering penetrating abdominal wounding, demonstrated visually, palpatory or instrumentally, must be pulled out.https://hirurgiya.com.ua/index.php/journal/article/view/1033the magnet surgical instrumentsgun–shot abdominal woundings |
| spellingShingle | O. Yu. Usenko І. A. Lurin K. V. Gumenuk V. V. Nehoduiko P. M. Mikhaylusov A. P. Ryzhenko R. V. Saliutin Application of surgical magnet instruments for diagnosis and pulling out of ferromagnetic foreign bodies of abdominal cavity in the battle gun–shot trauma Клінічна хірургія the magnet surgical instruments gun–shot abdominal woundings |
| title | Application of surgical magnet instruments for diagnosis and pulling out of ferromagnetic foreign bodies of abdominal cavity in the battle gun–shot trauma |
| title_full | Application of surgical magnet instruments for diagnosis and pulling out of ferromagnetic foreign bodies of abdominal cavity in the battle gun–shot trauma |
| title_fullStr | Application of surgical magnet instruments for diagnosis and pulling out of ferromagnetic foreign bodies of abdominal cavity in the battle gun–shot trauma |
| title_full_unstemmed | Application of surgical magnet instruments for diagnosis and pulling out of ferromagnetic foreign bodies of abdominal cavity in the battle gun–shot trauma |
| title_short | Application of surgical magnet instruments for diagnosis and pulling out of ferromagnetic foreign bodies of abdominal cavity in the battle gun–shot trauma |
| title_sort | application of surgical magnet instruments for diagnosis and pulling out of ferromagnetic foreign bodies of abdominal cavity in the battle gun shot trauma |
| topic | the magnet surgical instruments gun–shot abdominal woundings |
| url | https://hirurgiya.com.ua/index.php/journal/article/view/1033 |
| work_keys_str_mv | AT oyuusenko applicationofsurgicalmagnetinstrumentsfordiagnosisandpullingoutofferromagneticforeignbodiesofabdominalcavityinthebattlegunshottrauma AT íalurin applicationofsurgicalmagnetinstrumentsfordiagnosisandpullingoutofferromagneticforeignbodiesofabdominalcavityinthebattlegunshottrauma AT kvgumenuk applicationofsurgicalmagnetinstrumentsfordiagnosisandpullingoutofferromagneticforeignbodiesofabdominalcavityinthebattlegunshottrauma AT vvnehoduiko applicationofsurgicalmagnetinstrumentsfordiagnosisandpullingoutofferromagneticforeignbodiesofabdominalcavityinthebattlegunshottrauma AT pmmikhaylusov applicationofsurgicalmagnetinstrumentsfordiagnosisandpullingoutofferromagneticforeignbodiesofabdominalcavityinthebattlegunshottrauma AT apryzhenko applicationofsurgicalmagnetinstrumentsfordiagnosisandpullingoutofferromagneticforeignbodiesofabdominalcavityinthebattlegunshottrauma AT rvsaliutin applicationofsurgicalmagnetinstrumentsfordiagnosisandpullingoutofferromagneticforeignbodiesofabdominalcavityinthebattlegunshottrauma |