Impact of choice of surgical treatment for gunshot wounds of the uterus depending on the nature of the wound

Introduction. Unfortunately, at present there are still quite a large number of local military conflicts in which not only servicemen but also civilians are injured.Purpose of the study. To study the main anatomical injuries in gunshot wounds of the uterus and their influence on the choice of surgical treatment.Materials and methods of research. We analyzed the results of treatment of 86 female patients who received gunshot wounds in the pelvic region from the civilian population in the local armed conflict with uterine injury. The average age was 36±5 years. Taking into account the time of delivery, all the wounded were divided into 2 subgroups: the 1st group included 45 (52.3%) women whose delivery time to the medical institution did not exceed 1.5 h; the 2nd group included 41 (47.7%) women whose delivery time exceeded the specified time limits.Results. The study shows that multiple wounds predominated in both groups. In those cases where the uterine wound was superficial, the wound was not the source of peritonitis.Conclusion. It has been confirmed that in cases where the uterine wound is superficial, the wound is not a source of peritonitis and organ-preserving operations should be preferred. But, in those cases when the number of wounds exceeds three, regardless of the penetrating or non-penetrating nature of the wound, preference should be given to uterine extirpation, as suturing in such cases is accompanied by deformation of the uterus with subsequent impairment of childbearing function.