SURGICAL CARE WITH MINE-BLAST TRAUMA IN UKRAINIAN CHILDREN DURING WARTIME dr.aleksmaksymenko@gmail.com

 

SURGICAL CARE WITH MINE-BLAST TRAUMA IN UKRAINIAN CHILDREN DURING WARTIME

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Ukraine

Oral only

Purpose. To analyze pediatric surgical care provided for mine-blast injuries of the military aggression of russian federation.

From 24Feb 2022 till now, 510 children were killed and 1143 were injured. The cases treated in two centres during this period were studied. Almost all injuries had a mine-explosive nature and were caused by the consequences of air-rocket fire. Strategy and treatment of patients with mine-blast injuries was perfectly developed and implemented in military medical institutions of Ukraine.

111 children with mine-blast injuries were treated in “Ohmatdyt” with an average age of 9.2±2.7 years. Of these, 103(93%) children had damage to the extremities and soft tissues of the trunk. 4(3%) had a combination of damage to the limbs and a penetrating injury to abdominal organs, another 4(3%) had acubarotrauma with brain damage. 2(1%) children died. Regional Medical Center of Family Health provided surgery care to 159 children with an average age of 8.9±3.0 years. Combined mine-blast injuries with damage to limbs, were seen in 75(47%) patients. 48(30%) children had head injuries. 33(21%) had torso injuries. 3(2%) children suffered from burns. At the pre-hospital stage, 5 children killed by blind injuries of the brain.

Mine-blast injuries lead to significant polytrauma with combined damage to the child's fragile body, which requires a multidisciplinary approach with involvement of a large number of related specialists and substantial resources.