APPLYING INTERVENTIONAL SONOGRAPHY IN DIAGNOSTICS AND TREATMENT OF LIMITED PURULENT DESTRUCTIVE COMPLICATIONS OF COMBAT SURGICAL TRAUMAS DURING ATO

Introduction. The use of interventional techniques sonography in peace time in purulent destructive complications found widespread adoption in many specialized clinics to reduce the trauma and the time of treatment. Instead, reports on the use puncture-drainage interventions under control sonography in the treatment of patients with gunshot wounds occur quite rarely. Considering this fact, we provide own experience of application these technologies in the treatment of purulent septic complications of combat surgical trauma.

Aim. To improve the results of treatment of injured and traumatized with rational adoption of diagnostic and mini-invasive surgical manipulations under the ultrasound imaging control.

Materials of and methods. The period from 2014 to 2017 in the Military Medical Clinical Center of the Southern region and in the Military Field Hospital № 61 there were performed 365 puncturing and drainaging pathological focuses under the ultrasound imaging control in 210 injured with limited purulent destructive complications.

Conclusion. Ultrasound diagnostic with interventional sonography is highly effective method for diagnosing limited purulent destructive complications. In 89.5 % of the wounded and injured from purulent destructive complications subjected to puncture-drainage intervention under ultrasound management achieved recovery; in other cases — to adequate focus sanation as part of preoperative preparation.