Bogomolets National medical university
National University of "Kyiv-Mohyla Academy"
RESEARCH, TEACHING, or OTHER INTERESTS
Surgery
3
Scopus Publications
78
Scholar Citations
4
Scholar h-index
1
Scholar i10-index
Scopus Publications
DETECTION OF METALLIC AND NON-METALLIC ORIGIN FOREIGN BODIES IN BIOLOGICAL TISSUES OBTAINED AS A RESULT OF MILITARY TRAUMA: A LITERATURE REVIEW Viktor A. Chernyak, Dmytro Ye. Dubenko, Kostiantyn K. Karpenko, Lidiia V. Butska, Vitalii S. Myrona, Nataliia Yu. Kondratiuk Clinical and Preventive Medicine, 2025 Introduction. The presence of foreign bodies in the human body is often the result of injuries with a violation of the integrity of the integumentary structures. In combat conditions, fragments of metal, glass or other materials can enter the body, which complicates diagnosis. Metal objects are well visualized on radiography and CT, but non-metallic materials, such as wood or plastic, require the use of other imaging methods, such as ultrasound or MRI. Increasing the sensitivity of detection methods is an important task of modern medicine. A separate important issue in the detection of foreign bodies (FB) is their intraoperative detection and navigation. Removal of a foreign body resulting from combat trauma is often a complex technical task that requires special skills of the surgeon and high-tech medical equipment that can be used during surgical intervention. Such equipment must meet medical safety standards, be mobile and convenient to use, and must be resistant to multiple sterilizations and exposure to aggressive chemicals and biological fluids.Aim. Analysis of modern approaches and technologies for detecting foreign bodies of metallic and non-metallic origin in biological tissues resulting from combat trauma.Results and discussion. Various imaging methods can be used to detect foreign objects, such as ultrasound, conventional radiography, computed tomography, or magnetic resonance imaging. The visibility of foreign bodies depends on the interaction of the physicochemical properties of the object and the physical phenomena underlying the corresponding imaging method. The currently accepted methods are the main tools for diagnosing FB, each of which has its own advantages and limitations. For accurate planning of surgical interventions, it is necessary to use radiography, ultrasound, CT, or MRI, depending on the situation. In the case of complex injuries, intraoperative navigation should be used to localize the FB and minimize the risk of complications.Conclusions. Development of new imaging techniques: Development of non-radioactive fragments detection in gunshot wounds using noise emission technology, imaging and intraoperative navigation will increase the efficiency of detection and treatment of patients with FB.
Application of Damage Control Tactics and Transpapillary Biliary Decompression for Organ-Preserving Surgical Management of Liver Injury in Combat Patient Igor Khomenko, Ievgen Tsema, Kostiantyn Humeniuk, Heorhii Makarov, Dmytro Rahushyn, Yurii Yarynych, Artur Sotnikov, Viktor Slobodianyk, Serhii Shypilov, Dmytro Dubenko, Olena Barabanchyk, Andrii Dinets Military Medicine, 2022 The combat penetrating gunshot injury is frequently associated with damage to the liver. Bile leak and external biliary fistula (EBF) are common complications. Biliary decompression is commonly applied for the management of EBF. Also, little is known about the features of combat trauma and its management in ongoing hybrid warfare in East Ukraine. A 23-year-old male was diagnosed with thoracoabdominal penetrating gunshot wound (GSW) by a high-energy multiple metal projectile. Damage control tactics were applied at all four levels of military medical care. Biliary decompression was achieved by endoscopic retrograde cholangiopancreatography (ERCP), endoscopic sphincterotomy (EST) and the placement of biliary stents. Occlusion of the stent was treated by stent replacement, and scheduled ERCP was performed. Partial EBF was diagnosed from the main wound defect of the liver and closed without surgical interventions on the 34th day after the injury. A combination of operative and nonoperative techniques for the management of the combat GSW to the liver is effective along with the application of damage control tactics. A scheduled ERCP application is an effective approach for the management of EBF, and liver resection could be avoided. A successful biliary decompression was achieved by the transpapillary intervention with the installation of stents. Stent occlusion could be diagnosed in the early post-traumatic period, which is effectively managed by scheduled ERCP as well as stent replacement with a large diameter as close as possible to the place of bile leak.
Morphological assessment of vascular anastomoses performed using high frequency electric welding P. F Muzychenko, V. A Chernyak, S. I Savosko, Yu. N Lankin, K. K Karpenko, D. E Dubenko, Yu. V Nahaliuk, V. U Zorgach, T. I Manzuk, R. V Gybalo, U. I Koshevskiy International Journal of Morphology, 2021 assessment of vascular anastomoses performed using high frequency SUMMARY: The studies of the properties of vascular structures and tissues during electric welding, in particular direct morphological changes in the blood vessel walls in the areas of welding processes, are of interest. Perforating veins, femoral veins, abdominal aorta, vena cava and porcine perforating veins of the limbs were used in this study. We performed end-to-end electric welding of the aorta, venous end-to-side electric welding, vein end-to-artery side arterial and venous welding, venous end-to-end electric welding, as well as arterial and venous lumen sealing.The results of histological studies showed the formation of a coagulated acellular protein matrix, represented by unorganized denatured protein fibrous structures. In the area of vascular tissue coagulation, lacunes were formed as a result of water evaporation from the biological tissue. In the perifocal area of the welded junction, cell reduction occurred without necrosis or charring. The data obtained confirm the safety of high frequency electric welding of the main vessels and the prospectfor clinical use of the studied techniques.
RECENT SCHOLAR PUBLICATIONS
Detection of metallic and non-metallic origin foreign bodies in biological tissues obtained as a result of military trauma: A literature review ВА Черняк, КК Карпенко, ЛВ Буцька, ВС Мирона, НЮ Кондратюк Клінічна та профілактична медицина, 121-128 , 2025 2025 Citations: 1
Основи пластичної та реконструктивної хірургії. Третє видання (перероблене та доповнене) ВМ Атаманюк, ОЮ Атаманюк, ІМ Бензар, ГЮ Бука, АО Бурка, ... 2025
Як виявити та безпечно видалити уламки у вогнепальній рані? ВА Черняк, ДЄ Дубенко, КК Карпенко НАУКОВО-ОСВІТНІЙ ІННОВАЦІЙНИЙ ЦЕНТР СУСПІЛЬНИХ ТРАНСФОРМАЦІЙ , 2024 2024
The golden era of Kyiv surgery D Dubenko General Surgery, 5-8 , 2024 2024
Yurii Voronyi–a surgeon who was ahead of his time D Dubenko General Surgery, 5-8 , 2024 2024
Minimally invasive techniques for surgical treatment of sacrococcygeal pilonidal disease DY Dubenko, RV Honza General Surgery, 33-37 , 2024 2024 Citations: 2
Пілонідальна кіста крижово-куприкової ділянки з дебютом захворювання у вигляді переднього перианального абсцесу: клінічний випадок D Dubenko ScienceRise: Medical Science, 53-59 , 2024 2024
Новий підхід до класифікації пілонідальної хвороби крижово-куприкової ділянки, розроблений на основі клінічного досвіду лікування різних форм захворювання: концепція apset ДЄ Дубенко, ЯМ Сусак Перспективи та інновації науки (Серія Педагогіка, Серія Психологія, Серія … , 2024 2024
SACROCOCCYGEAL PILONIDAL CYST WITH THE DISEASE ONSET AS AN ANTERIOR PERIANAL ABSCESS: A CLINICAL CASE D Dubenko ScienceRise: Medical Science 58 (1) , 2024 2024
Порівняльний аналіз міні-інвазивних та ненатяжних методик хірургічного лікування пілонідальної хвороби крижово-куприкової ділянки ДЄ Дубенко 2024
An algorithm for the diagnosis of sacrococcygeal pilonidal disease in resource-limited settings D Dubenko, Y Susak General Surgery, 88-95 , 2023 2023
Minimally invasive methods of treatment of pulmonary bleeding M Khuda, V Grubnik, V Severgin, D Dubenko The Ukrainian Scientific Medical Youth Journal 139 (2), 32-39 , 2023 2023
Основи пластичної та реконструктивної хірургії. Друге видання (перероблене та доповнене) ВМ Атаманюк, ОЮ Атаманюк, ІМ Бензар, ГЮ Бука, АО Бурка, ... 2023
Малоінвазивні методи лікування легеневих кровотеч М Худа, В Грубнік, В Севергін, Д Дубенко 2023
Application of damage control tactics and transpapillary biliary decompression for organ-preserving surgical management of liver injury in combat patient I Khomenko, I Tsema, K Humeniuk, H Makarov, D Rahushyn, Y Yarynych, ... Military Medicine 187 (5-6), e781-e786 , 2022 2022 Citations: 9
Реформи вищої медичної освіти в Україні у 1921-2021 роках: історичний аналіз трендів та концепцій Д Дубенко 2022
Experimental modeling of a residual wound cavity on a balistic plasticine using conventional and hollow point bullets IA Lurin, IV Tsema, KV Gumenuik, YV Susak, DY Dubenko, YI Tsema Medical Science of Ukraine (MSU) 17 (4) , 2021 2021 Citations: 8
Woundary ballistics of biological tissue’s plastic deformation on the model of ballistic plastiline using hollow point and shape-stable bullets K Gumeniuk, I Lurin, I Tsema, Y Susak, O Mykhaylenko, V Nehoduiko, ... Journal of Education, Health and Sport 11 (11), 37-57 , 2021 2021 Citations: 19
Evaluación Morfológica de Anastomosis Vasculares Realizada Mediante Soldadura Eléctrica de Alta Frecuencia PF Muzychenko, VA Chernyak, SI Savosko, YN Lankin, KK Karpenko, ... International Journal of Morphology 39 (4), 1183-1189 , 2021 2021
Bilateral Gunshot Wounds to the Chest at Different Levels of Medical Care V Nehoduiko, I Tsema, K Humenyuk, K Kravchenko, O Yurkiv, D Dubenko, ... Journal of Education, Health and Sport 11 (4), 92-100 , 2021 2021 Citations: 4
MOST CITED SCHOLAR PUBLICATIONS
Woundary ballistics of biological tissue’s plastic deformation on the model of ballistic plastiline using hollow point and shape-stable bullets K Gumeniuk, I Lurin, I Tsema, Y Susak, O Mykhaylenko, V Nehoduiko, ... Journal of Education, Health and Sport 11 (11), 37-57 , 2021 2021 Citations: 19
Application of damage control tactics and transpapillary biliary decompression for organ-preserving surgical management of liver injury in combat patient I Khomenko, I Tsema, K Humeniuk, H Makarov, D Rahushyn, Y Yarynych, ... Military Medicine 187 (5-6), e781-e786 , 2022 2022 Citations: 9
Experimental modeling of a residual wound cavity on a balistic plasticine using conventional and hollow point bullets IA Lurin, IV Tsema, KV Gumenuik, YV Susak, DY Dubenko, YI Tsema Medical Science of Ukraine (MSU) 17 (4) , 2021 2021 Citations: 8
Брати Черняхівські: від Сяну до Дону ДЄ Дубенко Серце і судини, 102-110 , 2018 2018 Citations: 5
Bilateral Gunshot Wounds to the Chest at Different Levels of Medical Care V Nehoduiko, I Tsema, K Humenyuk, K Kravchenko, O Yurkiv, D Dubenko, ... Journal of Education, Health and Sport 11 (4), 92-100 , 2021 2021 Citations: 4
Morphological assessment of vascular anastomoses performed using high frequency electric welding P Muzychenko, V Chernyak, S Savosko, Y Lankin, K Karpenko, ... 2021 Citations: 4
ПЕРЕХРЕСНІ СТЕЖКИ КИЇВСЬКОЇ ХІРУРГІЇ (ЧАСТИНА 1). УНІВЕРСИТЕТСЬКА КЛІНІКА ДЄ Дубенко Український науковий медичний молодіжний журнал, 4-9 , 2020 2020 Citations: 4
Ангіогенез: у нормі і в патології НЮ Літвінова, ІГ Архіпов, ДЄ Дубенко Серце і судини, 95-99 , 2015 2015 Citations: 4
Dynamics of the serum bilirubin level during bile ducts drainage in patients with hilar tumor stenosis and jaundice R Palytsya, L Markulan, I Tsema, D Dubenko, A Batiuk, Y Susak Journal of Education, Health and Sport 11 (3), 154-167 , 2021 2021 Citations: 3
A meta-analysis of the soft tissue defects classification and justification of the optimal surgical reconstruction method S Tertyshnyi, I Khomenko, К Gumenyuk, S Korol, Y Tsema, D Dubenko, ... The Ukrainian Scientific Medical Youth Journal 121 (1), 112-123 , 2021 2021 Citations: 3
Мета-аналіз класифікацій дефектів м’яких тканин та обґрунтування оптимального об’єму та методу хірургічної реконструкції С Тертишний, І Хоменко, К Гуменюк, С Король, Є Цема, Д Дубенко, ... 2021 Citations: 3
Minimally invasive techniques for surgical treatment of sacrococcygeal pilonidal disease DY Dubenko, RV Honza General Surgery, 33-37 , 2024 2024 Citations: 2
Юрій Вороний–славетний випускник Київської державної медичної академії D Dubenko The Ukrainian Scientific Medical Youth Journal 121 (1), 5-12 , 2021 2021 Citations: 2
Інноваційні технології в хірургії судин ВА Черняк, СГ Гичка, СВ Дибкалюк, ПФ Музиченко, ВМ Голінко, ... Серце і судини, 7-13 , 2018 2018 Citations: 2
Detection of metallic and non-metallic origin foreign bodies in biological tissues obtained as a result of military trauma: A literature review ВА Черняк, КК Карпенко, ЛВ Буцька, ВС Мирона, НЮ Кондратюк Клінічна та профілактична медицина, 121-128 , 2025 2025 Citations: 1
Дизайн клінічного проспективного дослідження: застосування генної, клітинної терапії та непрямої реваскуляризації для лікування хворих із нереконструктабельною хронічною … NY Litvinova, VA Chernyak, OI Kefeli-Ianovska, DE Dubenko, OI Azarov Серце і судини, 6—17-6—17 , 2019 2019 Citations: 1
Методика лікування хворих із нереконструктабельною хронічною критичною ішемією нижніх кінцівок із застосуванням аутологічних мезенхімальних стовбурових клітин НЮ Літвінова, ВА Черняк, ОІ КефеліЯновська, ДЄ Дубенко Серце і судини, 5-12 , 2019 2019 Citations: 1
Патогенетичне обґрунтування та клінічне значення використання аргініну для профілактики критичної ішемії нижніх кінцівок і фатальних виявів мультифокального атеросклерозу ВГ Мішалов, ВА Черняк, ОІ Сопко, ДЄ Дубенко Серце і судини, 79-88 , 2018 2018 Citations: 1
Роль маркерів системної протизапальної відповіді у патогенезі хронічної ішемії нижніх кінцівок НЮ Літвінова, ВА Черняк, ВГ Мішалов, ОІ Кефелі-Яновська, ... ScienceRise 12 (3 (17)), 38-43 , 2015 2015 Citations: 1
Angiogenesis: normal and pathological NY Litvinova, IG Arkhipov, DY Dubenko Сердце и сосуды, 95-99 , 2015 2015 Citations: 1