Email this article Endovideosurgery in the diagnosis and treatment of abdominal gunshot wounds
- Authors: Ivanusa S.Y.1, Lazutkin M.V.1, Zhitikhin E.V.1, Chebotar A.V.1, Yankovsky A.V.1
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Affiliations:
- Military Medical Academy
- Issue: Vol 44, No 3 (2025)
- Pages: 255-264
- Section: Conference Proceedings
- URL: https://ogarev-online.ru/RMMArep/article/view/375392
- DOI: https://doi.org/10.17816/rmmar687269
- EDN: https://elibrary.ru/KXPUGE
- ID: 375392
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Abstract
BACKGROUND: Endovideosurgery is not widely used in the diagnosis and treatment of abdominal and pelvic gunshot wounds, and the data are limited.
AIM: This study aimed to assess surgical injuries in patients with penetrating abdominal wounds and to demonstrate the use of endovideosurgery in real-world specialized surgical care for penetrating abdominal wounds.
METHODS: The use of endovideosurgery in specialized surgical care for abdominal wounds was analyzed. Indications and contraindications for laparoscopy in patients with penetrating abdominal and pelvic wounds were proposed.
RESULTS: Laparoscopy is a reliable direct visualization tool that allows for precise diagnosis of lesions in questionable clinical cases. The transition from diagnostic to therapeutic laparoscopy enables a timely primary surgical intervention with a minimal risk of surgical injury, which is beneficial for the postoperative period and facilitates subsequent evacuation of the wounded patient.
CONCLUSION: Diagnostic laparoscopy is an additional diagnostic tool in questionable clinical cases, where physical and subsequent imaging examination findings do not rule out a penetrating abdominal gunshot wound. The analysis indicates that endovideosurgery is used as a diagnostic tool in 20% of cases and enables the required surgical intervention in 56.7% of cases.
About the authors
Sergey Ya. Ivanusa
Military Medical Academy
Email: yankovskii-aleks@mail.ru
ORCID iD: 0000-0003-3948-6928
SPIN-code: 8752-1600
MD, Dr. Sci. (Medicine), Professor
Russian Federation, Saint PetersburgMaksim V. Lazutkin
Military Medical Academy
Email: yankovskii-aleks@mail.ru
ORCID iD: 0000-0003-4971-7734
SPIN-code: 9364-8068
MD, Dr. Sci. (Medicine)
Russian Federation, Saint PetersburgEvgeniy V. Zhitikhin
Military Medical Academy
Email: yankovskii-aleks@mail.ru
ORCID iD: 0009-0007-7844-5535
SPIN-code: 1984-5704
MD, Cand. Sci. (Medicine)
Russian Federation, Saint PetersburgAnton V. Chebotar
Military Medical Academy
Email: yankovskii-aleks@mail.ru
ORCID iD: 0000-0001-6996-4471
SPIN-code: 5923-9859
MD, Cand. Sci. (Medicine)
Russian Federation, Saint PetersburgAleksandr V. Yankovsky
Military Medical Academy
Author for correspondence.
Email: yankovskii-aleks@mail.ru
ORCID iD: 0009-0003-9575-0049
SPIN-code: 1236-9833
MD, Cand. Sci. (Medicine)
Russian Federation, Saint PetersburgReferences
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