Khomenko, I.Lurin, I.Gumeniuk, K.McKnigh, G.Makarov, VitaliyNehoduykо, VolodymyrKhoroshun, EduardTertyshnyi, S.2023-10-232023-10-232023-05-18Telemedicine support aids lower limb reconstruction after combat injury in Ukraine / I. P. Khomenko, I. A. Lurin, K. V. Gumeniuk, G. McKnight, V. V. Makarov, V. V. Nehoduyko, E. Khoroshun, S. V. Tertyshnyi // Journal of Surgical Case Reports. ─ 2023. ─ № 7. ─ С. 1–4.https://repo.knmu.edu.ua/handle/123456789/32674Since the destructive and illegal full-scale invasion of Ukraine in February 2022, caring for the victims of war trauma has been an essential function of Ukrainian clinicians [1, 2]. The authors present a case where using novel dynamic digital thermography (DDT), combined with international telemedicine support, contributed to saving the lower limb of an injured Ukrainian soldier. A male soldier in his 30s presented with a ‘through and through’ fragmentation wound to the right thigh from an artillery shell exploding nearby. After initial haemorrhage control and resuscitation, the patient was transferred to a tertiary hospital. Using telemedicine support, reconstructive surgery was planned and performed successfully using a perforating f lap technique. DDT was used pre-operatively to identify a perforating vessel and post-operatively to ensure perfusion of the f lap. The patient made a good recovery and was discharged 14 d post-operativelyentelemedicinelower limb reconstructioncombat injury2023аArticle