Management of Wounds in the Russo-Ukrainian War: Challenges and Clinical Experiences from the Superhumans Center
Summary: This retrospective review of 2,000 war-related wounds at Superhumans Center (Kyiv) highlights challenges like delayed evacuation (average 72 hours), contamination (90%), and infection (60%), leading to 40% amputations. Protocols emphasize serial debridement, NPWT, and vascular reconstruction, achieving 85% limb salvage in transported cases. Lessons include antibiotic stewardship and telemedicine for remote triage.
Key Highlights:
- Challenges: 72h delay, 90% contamination, 60% infection, 40% amputation.
- Protocols: Serial debridement (within 6h), NPWT, antibiotics per IDSA.
- Outcomes: 85% salvage in treated; telemedicine cut transport time 30%.
- Innovations: 3D-printed prosthetics post-amputation.
- Authors: O. A. Vorobiov, A. V. Chepurnyi, V. O. Shkurupiy et al.
Keywords: war wounds, Russo-Ukrainian, Superhumans Center, debridement, limb salvage, O A Vorobiov, A V Chepurnyi, V O Shkurupiy