ArticleBMC surgery2023
Gunshot injury to the colon by expanding bullets in combat patients wounded in hybrid period of the Russian-Ukrainian war during 2014-2020.
Article in BMC surgery, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Persistent neuropathic pain symptoms after FPV drone-related thoracic blast injury without rib fractures: a pilot observational study from the Ukraine War.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2026Observational
- Differential approach for the management of femoral post-traumatic combat-related osteomyelitis in the war in Ukraine: a clinical case series.International journal of emergency medicine · 2026Article
- Epidemiological Profile, Clinical Presentations, and Complications of Gunshot Wounds in Patients Admitted to a Tertiary Hospital in the Armed Conflict Zone of Goma in Eastern DR Congo.Public health challenges · 2026Article
- A utility of video-assisted thoracoscopy (VATS) for management of gunshot injury to the esophagus in Role 2 hospital: case report from Russia-Ukraine war.Trauma case reports · 2026Article
- Qualitative assessment of combat-related injury patterns and injury prevention in Ukraine since the Russian invasion.BMJ military health · 2026Article
- Fork from camping utensils as a wounded shell caused severe vascular injury in a combat patient injured in the war in Ukraine: a case report.International journal of emergency medicine · 2025Article
- Utility of video-assisted thoracoscopic surgery (VATS) and surgical magnets for management of the patient with gunshot injury to the heart and pericardium in Russia-Ukraine war.International journal of emergency medicine · 2025Article
- Modeling Sepsis: Establishment and Validation of a 72-Hour Swine Model of Penetrating Abdominal Trauma.Medicina (Kaunas, Lithuania) · 2025Article
- Crohn's disease onset associated with a ballistic injury to the abdomen in the patient wounded in the war in Ukraine: a case report.Journal of medical case reports · 2025Article
- Assault rifle injuries in civilians: ballistics of wound patterns, assessment and initial management.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2024Review
- Addressing abdominal trauma from conflict and warfare in under-resourced regions: A critical narrative review.Health science reports · 2024Article
- Management of gunshot injury to the abdominal aorta and inferior vena cava: a case report of a combat patient wounded in the Russo-Ukrainian war.International journal of emergency medicine · 2024Article
- Management of thoracoabdominal gunshot injuries by using minimally invasive surgery at role 2 deployed field hospitals in Ukraine.BMC surgery · 2024Article
- Renal injuries in conflict zones: a 6-year study of traumatic cases in Afghanistan.Conflict and health · 2024Article
- A new approach for reconstruction of the gunshot defect of the flexor surface of the ungual (distal) phalanx by the proper transverse branch of the digital artery: a case report of combat patient injured in the Russo-Ukrainian war.Scandinavian journal of trauma, resuscitation and emergency medicine · 2023Article
- Retrieval of ferromagnetic fragments from the lung using video-assisted thoracoscopic surgery and magnetic tool: a case report of combat patient injured in the war in Ukraine.International journal of emergency medicine · 2023Article
- Modeling Musculoskeletal Combat Casualty Care: NATO Trauma System Performance in Large Scale Combat Operations.JB & JS open accessArticle
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundA gunshot wound to the colon is a frequent injury in armed conflicts. An example of a high-energy modern weapon is hollow-point bullets, which is associated with increased tissue damage and lethal outcome. The aim of this study was to evaluate gunshot injuries to the colon in combat patients and to assess the difference in clinical features of patients with colon injuries by hollow-point versus shape-stable bullets. PATIENTS AND
methodsAnalyses of clinical data were performed on 374 male soldiers from the Armed Forces of Ukraine with gunshot abdominal wounds with injury to the colon in East Ukraine between 2014 and 2020. Out of 374 injured, 112 (29.9%) patients were diagnosed with penetrating gunshot bullet wounds: 69/112 (61.6%) were injured by shape-stable bullets, and the hollow-point bullets injured 43/112 (38.4%) patients.
resultsMore severe hemorrhagic shock stages were in patients injured by hollow-point bullets: shock stages III-IV was in 25 (58.1%) patients injured by the hollow-point bullets vs. 17 (24.6%) patients injured by shape-stable bullets (p = 0.0004). Left colon parts were more frequently injured as compared to the right colon side or transverse colon: 21 (48.8%) patients were injured by the hollow-point bullets (p < 0.0001), and 41 (59.4%) patients were injured by the shape-stable bullets (p = 0.032). A significant difference was identified for the frequent injury to the middle colon within the entire cohort (p = 0.023). Patients injured by the hollow-point bullets demonstrated a higher frequency of 3-5 areas of colon gunshot defects, which was detected in 18 (41.8%) patients injured by hollow-point bullets and none with shape-stable bullets injury (p = 0.0001). Colon Injury Scale (CIS) IV was detected in 7 (16.3%) patients injured by the hollow-point bullets as compared to 2 (2.9%) patients injured by shape-stable bullets (p = 0.011). Colostomy was performed in 14 (69%) patients injured by shape-stable bullets and in 12 (27.9%) patients injured by hollow-point bullets (p > 0.05). 15 (35%) patients died after injury by the hollow-point bullet, whereas 9 (13%) patients after damage by the shape-stable bullets (p = 0.0089).
conclusionsAll patients should be suspected to have an injury by bullet with expanding properties in case of penetrating abdominal injury (absent of outlet wound) and careful revision of the abdomen must be performed to identify possible multiorgan injury as well as multiple gunshot defects of the intestine.
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