Khomenko Igor P, Lurin Igor A, Gumeniuk Konstiantyn V, McKnight Gerard, Makarov Vitaliy V, Nehoduyko Volodymyr V, Khoroshun Eduard, Tertyshnyi Serhii V
National Academy of Medical Sciences of Ukraine, Kyiv, Ukraine.
Research and Practical Center of Preventive and Clinical Medicine, State Administrative Department, State Institution of Science, Kyiv, Ukraine.
J Surg Case Rep. 2023 Jul 17;2023(7):rjad403. doi: 10.1093/jscr/rjad403. eCollection 2023 Jul.
Since the destructive and illegal full-scale invasion of Ukraine in February 2022, caring for the victims of war trauma has been an essential function of Ukrainian clinicians [ 1, 2]. The authors present a case where using novel dynamic digital thermography (DDT), combined with international telemedicine support, contributed to saving the lower limb of an injured Ukrainian soldier. A male soldier in his 30s presented with a 'through and through' fragmentation wound to the right thigh from an artillery shell exploding nearby. After initial haemorrhage control and resuscitation, the patient was transferred to a tertiary hospital. Using telemedicine support, reconstructive surgery was planned and performed successfully using a perforating flap technique. DDT was used pre-operatively to identify a perforating vessel and post-operatively to ensure perfusion of the flap. The patient made a good recovery and was discharged 14 d post-operatively.
自2022年2月俄罗斯对乌克兰发动毁灭性的非法全面入侵以来，照顾战争创伤受害者一直是乌克兰临床医生的一项重要职责[1,2]。作者介绍了一个案例，在该案例中，使用新型动态数字热成像（DDT）并结合国际远程医疗支持，成功挽救了一名受伤乌克兰士兵的下肢。一名30多岁的男性士兵因附近炮弹爆炸导致右大腿贯通性碎片伤。在初步控制出血和进行复苏后，患者被转至一家三级医院。借助远程医疗支持，计划并成功实施了使用穿支皮瓣技术的重建手术。术前使用DDT来识别穿支血管，术后使用DDT来确保皮瓣的灌注。患者恢复良好，术后14天出院。
