Background: The hybrid war of Russia against Ukraine has been started in certain districts of Donetsk and Luhansk oblasts within the Donbas area in 2014. Case presentation: We report a clinical case of a combat patient who was injured after the multiple launcher rocket system “Grad” shelling, diagnosed with hydrodynamic liver rupture followed by medical management with application of damage control (DC) tactic in conditions of hybrid war. The patient underwent relaparatomy, liver resection, endoscopic papillosphincterotomy, endoscopic retrograde cholecystopancreatography, stenting of the common bile duct, and VAC-therapy. Applied treatment modalities were effective; the patient was discharged on the 49th day after injury. Conclusions: To our best knowledge, this is the first report describing a successful application of DC tactic in the hybrid war in East Ukraine. From this case, we suggest that application of DC tactic at all levels of combat medical care could save more lives. Keywords: Thoraco-abdominal combat injury, Hydrodynamic liver rupture, Damage control tactic Abbreviations: ATO, Antiterroristic operation; CT, Computed tomography; DC, Damage control; ICU, Intensive care unit; MLRS, Multiple-launch rocket systems Background war. It has resulted in various injuries of military The hybrid war of Russia against Ukraine has been personnel, which is not typically
Surgical Case Reports – Springer Journals
Published: Aug 15, 2017
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