Monoportal endoscopic surgery of blind pelvic gunshot wounds
https://doi.org/10.24884/0042-4625-2025-184-5-59-68
Abstract
INTRODUCTION. This article describes a monoportal endoscopic technique for surgical treatment of blind pelvic gunshot wounds.
The OBJECTIVE was to evaluate the possibilities and effectiveness of monoportal endoscopic surgery for blind pelvic gunshot wounds.
METHODS AND MATERIALS. The sample consisted of 16 men, aged 21–54, with blind pelvic gunshot wounds without damage to organs and large vessels, operated in 2022–2023 at the Military Medical Academy using monoportal endoscopic technology. The catamnesis was 12 months.
RESULTS. The operative technique of monoportal endoscopy in a liquid medium of sodium chloride saline solution with an antiseptic has been demonstrated, which makes it possible to remove a wounding projectile and clean a gunshot wound. In all patients, wound healing occurred within 5 to 16 days on the background of antibacterial therapy. There were no infectious complications. In all cases, a satisfactory clinical result was achieved. A computed tomographic classification of blind pelvic gunshot wounds is proposed for planning endoscopic access to a foreign body.
CONCLUSION. The method of full-endoscopic intra-wound debridement of gunshot wounds makes it possible to effectively remove wounding projectiles (bullets, shrapnel, fragments) from the musculoskeletal structures of the pelvis, providing satisfactory clinical outcomes. The optimal conditions for the use of this surgery are the presence of indications for the removal of deeply localized small foreign bodies in the pelvic area.
About the Authors
M. N. Kravtsov
Military Medical Academy
Russian Federation
Russian Federation
Kravtsov Maxim N., Dr. of Sci. (Med.), Senior Lecturer of the Department of Neurosurgery
Saint Petersburg
S. D. Mirzametov
Military Medical Academy
Russian Federation
Russian Federation
Mirzametov Saidmirze D., Cand. of Sci. (Med.), Head of the Neurosurgical Department of the Neurosurgery Clinic
Saint Petersburg
D. V. Svistov
Military Medical Academy
Russian Federation
Russian Federation
Svistov Dmitry V., Cand. of Sci. (Med.), Associate Professor, Head of the Department of Neurosurgery
Saint Petersburg
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For citations:
Kravtsov M.N., Mirzametov S.D., Svistov D.V. Monoportal endoscopic surgery of blind pelvic gunshot wounds. Grekov's Bulletin of Surgery. 2025;184(5):59-68. (In Russ.) https://doi.org/10.24884/0042-4625-2025-184-5-59-68
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