The first experience of the abdominal VAC- therapy application on role II medical support of combat actions

Abstract

Purpose. To conduct an analysis of the first experience of using abdominal VAC therapy during the implementation of Damage Control Surgery (DCS) tactics in the treatment of combat surgical abdominal trauma during large-scale combat operations.
 Material and methods. An analysis of the use of abdominal VAC therapy in the conditions of the advanced surgical group of the Military Mobile Hospital at the Role II of medical support in 45 wounded with penetrating gunshot wounds to the abdomen and damage to internal organs was carried out.
 Results. The paper describes the injuries of the abdominal organs in the case of a combat surgical injury of the abdomen, which underwent abdominal VAC therapy at the Role II of medical care. The technique of using abdominal VAC therapy in the irrigation mode is described in detail, with the specifics of its implementation for various injuries. The features of performing abdominal VAC therapy during the evacuation of the wounded are highlighted. The purpose of abdominal VAC therapy at the Role II of MS in the conditions of large-scale combat operations, indications, contraindications to its use and the peculiarities of its implementation in combat surgical abdominal trauma are summarized. 
 Conclusions. Abdominal VAC therapy for combat surgical injury of the abdomen is the optimal way to temporarily close the abdominal cavity at the end of the I phase of the DCS tactics at the Role II of combat medical support, which allows you to remove pathological exudate effectively from the abdominal cavity and rehabilitate it (including during medical evacuation to the next level of medical care ) and is preparation for performing reconstructive operations and final closure of the abdominal cavity in the III phase DCS tactics.