Prediction of Complications in Gunshot Wounds of the Pelvis in Women Received in Armed Conflict
M. А. Polidanov, V. V. Maslyakov, М. А. Барулина, С. В. Капралов, A. V. Parshin, S. E. Uryadov, K. А. Volkov, D. T. Tashukhozhaeva
Abstract
We have to state with a great regret the fact that armed conflicts do not cease to arise in the modern world. Therefore, life-saving measures are of primary importance, so the prevention of complications in case of gunshot wounds of the pelvis in women deserves special attention. AIM OF THE STUDY . Determination of prognosis of complications in gunshot wounds of the pelvis in women received in armed conflict. MATERIAL AND METHODS . The study included 86 women with shrapnel gunshot wounds to the abdominal cavity, which resulted in damage to the internal genital organs. All victims were civilians, their age ranged from 18 to 45 years, the average age was 34±5 years. Taking into account the admission time, all the wounded were divided into two subgroups: the 1st (Group A) included 45 people (52.3%), whose delivery time did not exceed 1.5 hours; the 2nd (Group B) included 41 women (47.7%), the delivery time from the moment of injury exceeded the specified time. Mathematical processing of the results was carried out using descriptive statistics methods. RESULTS . The conducted study shows that the immediate postoperative period for gunshot wounds of the pelvis in women proceeds more favorably in group A, which is confirmed by both laboratory data and data on the restoration of bowel function. At the same time, any peritonitis is dangerous due to its complications. In our observations, the total number of complications was 26 (30.2%), while in the overwhelming majority of observations (17; 19.7%) they were purulent-septic in nature. In group A, the number of complications was 9 (10.4%), in group B there were 17 (19.7%) complications (r=0.63, p<0.05). CONCLUSION . Taking into account the fact that the prediction of the development of such a formidable complication as peritonitis and its complications is of great clinical importance, we, using artificial intelligence, analyzed the main indicators influencing the development of complications, which, in turn, made it possible to create two programs: “A system for predicting the likelihood of complications after surgery for patients with peritonitis” and “An Internet service for predicting the likelihood of postoperative complications in patients with peritonitis”, for which patents of the Russian Federation have already been received.