SURGICAL KITS ROLE 2

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Valentyn ZINKIVSKYI

major of the medical service

leading surgeon of MF&SG “East”

Roman KUZIV

Lieutenant Colonel of the Medical Service

Commander of the Military Medical Clinical Center of the Eastern Region

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INTRODUCTION

In the current combat realities, a number of wounded with severe injuries which require urgent surgical interventions has increased significantly. According to NATO standards, at the Role 2 level of medical evacuation, qualified surgical care is provided, which includes emergency operations to save lives, massive hemorrhage control, and stabilization of the patient’s condition before further evacuation to a higher level of medical care (Role 3).  

One of the key aspects of the effective surgical team performance is proactive supply of operating rooms with ready-to-use surgical kits. These kits may contain sterile instruments and materials for a single operation on one wounded, which significantly reduces preparation time and ensures the standardization of medical care in complex field conditions.

The structure of injuries in active combat conditions vary, but their most common types are:

-        limb and soft tissue injuries (require primary surgical wound treatment, surgical repair of major blood vessels, installations of external fixation, etc.);

-        abdominal injuries (laparotomies);

-        chest injuries (thoracotomies, thoracocentesis);

-        traumatic brain injuries (craniotomy), etc.

For effective medical resource arrangement, it is essential to correctly calculate the quantity and types of surgical kits, considering both, qualitative composition (surgical intervention type) and quantitative needs for a given number of wounded.

This overview provides an example of ready-to-use surgical kits distribution for Role 2, estimated for 100 wounded, which is based on battle injury statistics observed in real war conditions.

Such an approach allows for coordinated teamwork of the surgical team, reduces pre-operation time preparation, and improves the effectiveness of medical care in wartime conditions.

For 100 wounded at the Role 2 level, on average, the following ready-to-use surgical kit can be required:

• 1 craniotomy set

• 1 thoracotomy set

• 5 thoracocentesis sets

• 4 laparotomy sets

• 3 vascular repair sets

• 6 sets for ExFix installation

• 5 limb amputation sets

• 10 primary wound debridement sets (large)

• 20 primary wound debridement sets (medium)

• 45 primary wound debridement sets (small)

However, when using such an approach, certain challenges and inconsistencies may arise. First, it should be acknowledged that wounded localization ratio is not constant, and the given number of wounded (i.e., 100) may not often be representative in specific situations. For example, thoracotomy or craniotomy can be required only once per 300–500 wounded, while surgical repair of the soft tissue can be required for up to 70 out of 100 cases. Therefore, it is relatively difficult to determine the exact ratio of injuries by localization under such conditions. Furthermore, some features of Role 2 medical care facilities dictate that some focus on severe and moderate patients treating, while others only accumulate soldiers with light wounds.   

СRANIOTOMY

Name	Quantity	Notes / purposes
NEUROSURGICAL AND BASIC EQUIPMENT
Disposable scalpel №10, №11	1 for each	For skin and tissue incision
Kocher clamp (straight, 14 cm)	4
Kocher clamp (curved, 14 cm)	4
Vascular clamp “Mosquito” (straight, 12.5 cm)	4	For small vessels
Vascular clamp “Mosquito” (curved, 12.5 cm)	4
Hemostatic clips (Raney or equivalent)	8	For temporary hemostasis
Forceps anatomical (pointed, 14 cm)	2
Forceps surgical (plain, 14 cm)	2
Forceps neurosurgical delicate	2	For brain tissue manipulation
Surgical Scissors Straight (14–16 cm)	1	For cutting through tissue
Surgical Scissors Curved (14–16 cm)	1	For blunt dissection
Suture Scissors	1
Farabeuf Retractors (Small, Double-ended)	2
Neurosurgical Retractor, Wullstein or equivalent	1	For exposure the surgical site
Needle Holder, Mathieu or Hegar (14–18 cm)	2
Atraumatic Surgical Needles	4	Cutting and rounded
Manual or Electric Drill (Craniotome)	1	For cranial bone trepanation
Neurosurgical Burrs of various sizes	3	For making holes in the bone
Rongeurs (Leksell, Kerrison)	2	For bone fragments removal
Elevators (Langenbeck)	2	Periosteum and tissue elevation
Neurosurgical Curettes	2	For delicate pathological tissue removal
Surgical Aspirator with Tip	1	For blood and fluid removal from a surgical site
Brain Spatulas	2	Brain tissue protection during procedure
Sterile Container	1	Mobile, for sterility
SURGICAL SUTURE MATERIAL
Vicryl 2-0, 75 cm, Round Needle	4
Vicryl 3-0, 75 cm, Round Needle	4
Polypropylene (Prolene) 2-0, 75 cm, Cutting Needle	4	Skin
Neurosurgical Suture Material 4-0, 5-0	2 of each	Delicate structures, Dura Mater
Ligature Threads (Silk or Synthetic)	15	For vessels ligating
Disposable Skin Stapler + Remover	1	For rapid skin closure
DRESSING MATERIAL
Gauze Swabs 10×10 cm (Sterile)	30
Gauze Swabs Large 20×20 cm	10
Small Neurosurgical Sponges/Patties	15	For local hemostasis
Hemostatic Sponge (Surgicel)	3
Sterile Bandages 7×14 cm	5
Leukoplast Tape	1 roll
PERSONAL PROTECTIVE EQUIPMENT AND ASEPSIS
Sterile gloves (Pair)	3 pairs
Non-sterile gloves	4 pairs
Surgical masks	3
Sterile surgical gowns	3
Cap, Shoe covers	4 sets
Sterile drapes (with opening for neurosurgical operation)	1
Skin antiseptic (Betadine, Skindez)	1 bottle
ADDITIONAL MATERIALS AND INSTRUMENTS
Aspiration catheter or tube	1	For blood and fluid removal
Surgical drains (Subdural, Epidural)	2	For cerebrospinal fluid or blood drainage
Container for bone fragments	1
Injection Needles and Syringes (5, 10, 20 mL)	1 of each
Surgical Marker	1
Biological Waste Bags	1

Laboratory Tests 

Complete Blood Count;

Complete Urinalysis;

Determination of Blood Type and Rh Factor;

Coagulation testing;

Biochemical Blood Test (with mandatory determination of the Urea, Creatinine, Blood pH, Potassium and other electrolytes level).

Average duration of the surgical procedure (min) 

Instrumental examinations

Required Personnel

Assistant

Operating Room Nurse

Surgical Orderly

Neurosurgeon

Antibacterial Therapy (*Order of the Ministry of Health of Ukraine from June 01,2023 №1004)

Ceftriaxone 2 g IV one-time (or Cefazolin 2 g IV every 8 hours as an alternative). For combined abdominal wounds, add Metronidazole 500 mg IV every 8–12 hours. Duration: as per prophylactic standard - for up to 24 hours; in the presence of a CSF leak or an unclosed source of infection - as clinically indicated.  

THORACOTOMY

Name	Quantity	Notes / purposes
SURGICAL EQUIPMENT
Disposable scalpel №10, №11	1 for each	For skin and tissue incision
Kocher clamp (straight, 14 cm)	4
Kocher clamp (curved, 14 cm)	4
Billroth Forceps (straight)	2
Billroth Forceps (curved)	2
Mikulicz Forceps (Long, 18–20 cm)	2
Vascular clamp “Mosquito” (straight, 12.5 cm)	4	For small vessels
Vascular clamp “Mosquito” (curved, 12.5 cm)	2
Forceps anatomical (pointed, 14 cm)	2
Forceps surgical (plain, 14 cm)	2
Surgical Scissors Straight (14–16 cm)	1	For cutting through tissue
Surgical Scissors Curved (14–16 cm)	1	For blunt dissection
Suture Scissors	1
Farabeuf Retractors (Small, Double-ended)	2
Baby-Finochietto Thoracic Retractor	1	Key instrument for surgical access
Needle Holder, Mathieu or Hegar (14–18 cm)	2
Atraumatic Surgical Needles	4	Cutting and rounded
Duval Lung Forceps	2
Doyen/Allison Rib Forceps	2	For delicate rib retraction
Retractor for Lung and Heart Protection	2	For organ protection
Sterile Container	1	Mobile, for sterility
SUTURE MATERIAL
Vicryl 2-0, 75 cm, Round Needle	6	Muscles and fascia closure
Vicryl 1-0, 75 cm, Round Needle	4	Aponeurosis, Intercostal muscles
Vicryl 3-0, 75 cm, Round Needle	4	Lung tissue, small vessels
Polypropylene (Prolene) 2-0, 75 cm, Cutting Needle	4	Skin, fascia
Vascular suture material (5-0, 6-0)	2 of each	For thoracic vessels
Disposable Skin Stapler + Remover	1	For rapid skin closure
Ligature Threads (Silk or Synthetic)	10	For vessels ligating
DRESSING MATERIAL
Gauze Swabs 10×10 cm (Sterile)	30
Gauze Swabs Large 20×20 cm	20
Gauze Sponges (10×5 cm, in rolls)	10
Laparotomy/Thoracotomy Sponges (X-Ray Detectable)	10
Sterile Bandages 7×14 cm	2
Hemostatic Sponge (Surgicel)	2
Sterile Incise Drape	1
Leukoplast Tape	1 roll
PERSONAL PROTECTIVE EQUIPMENT AND ASEPSIS
Sterile gloves (Pair)	3 pairs
Non-sterile gloves	4 pairs
Surgical masks	4
Sterile surgical gowns	3
Cap, Shoe covers	4 sets
Sterile drapes (with opening for thoracotomy)	1
Skin antiseptic (Betadine, Skindez)	1 bottle
ADDITIONAL MATERIALS AND INSTRUMENTS
Aspiration catheter or tube	1	For blood and fluid removal
Surgical drains (Bulau or Jackson-Pratt type)	2	For the pleural cavity
Injection Needles and Syringes (10, 20 mL)	2 of each
Infusion Sets	2
Surgical Marker	1
Sterile container for organs/fragments	1
Biological Waste Bags	1

Laboratory tests 

Complete blood count;

Complete Urinalysis; determination of blood type and Rh-factor;

Coagulation testing;

Biochemistry blood test (with mandatory determination of the Urea, Creatinine, blood Ph, Potassium, and other electrolytes level)

Average duration of the surgical procedure (min)

Instrumental examinations

Required personnel

Assistant

surgical orderly

thoracic or general surgeon

operating room nurse

Antibacterial Therapy (*Order of the Ministry of Health of Ukraine from June 01,2023 №1004) 

Cefazolin 2 g IV every 8 hours (or Clindamycin 900 mg IV every 8 hours in case of β-lactam allergy). Duration: as per standard - up to 24 hours; in case of esophageal injury or contamination — consider an extended scheme. 

THORACOCENTESIS

Name	Quantity	Notes / purposes
SURGICAL EQUIPMENT
Disposable scalpel №10, №11	1 for each	For skin and tissue incision
Kocher clamp (straight, 14 cm)	1	For tissue retraction, mild bleeding control
Forceps anatomical (pointed, 14 cm)	1
Forceps surgical (plain, 14 cm)	1
Suture Scissors	1
Thoracocentesis Catheter/Trocar	1	For pleural cavity insertion
Drain Tube (24–32 Fr)	1	For fluid/air drainage
Pleural Fluid collection system (Water seal or improvised container)	1	For drainage and backflow air prevention
Needle Holder, Mathieu or Hegar (14–18 cm)	1
Large-Bore needle	1	Cutting
Sterile Container	1	Mobile, for sterility
SUTURE MATERIAL
Suture Material (Silk, Polypropylene 2-0/3- 0)	1	For skin closure or drain fixation
DRESSING MATERIAL
Gauze Swabs 10×10 cm (Sterile)	2
Gauze Swabs Large 20×20 cm	2
Leukoplast Tape	1 roll
PERSONAL PROTECTIVE EQUIPMENT AND ASEPSIS
Sterile gloves (Pair)	2 pairs
Non-sterile gloves	2pairs
Surgical masks	2
Sterile surgical gowns	2
Cap, Shoe covers	2 sets
Sterile drapes	1
Skin antiseptic (Betadine, Skindez)	1 bottle

Laboratory tests 

Complete blood count;

determination of blood type and Rh-factor;

Coagulation testing;

Average duration of the surgical procedure (min)

Instrumental examinations

Required personnel

general surgeon or traumatologist

operating room nurse/ wound care nurse

Antibacterial Therapy (*Order of the Ministry of Health of Ukraine from June 01,2023 №1004)

Cefazolin 2 g IV one-time (or Clindamycin 450–900 mg IV as per regimen in case of allergy). Duration: in accordance with indications; standard 24 hours prophylactically.  

LAPAROTOMY

Name	Quantity	Notes / purposes
SURGICAL EQUIPMENT
Disposable scalpel №10, №11	2 for each	For skin and tissue incision
Kocher clamp (straight, 14 cm)	4
Kocher clamp (curved, 14 cm)	4
Mikulicz Forceps (straight)	2	For grasping peritoneum layer
Billroth Forceps (curved)	2
Vascular clamp “Mosquito” (straight, 12.5 cm)	4	For small vessels
Vascular clamp “Mosquito” (curved, 12.5 cm)	4
Forceps anatomical (pointed, 14 cm)	2
Forceps surgical (plain, 14 cm)	2
Surgical Scissors Straight (14–16 cm)	1	For cutting through tissue
Surgical Scissors Curved (14–16 cm)	1	For blunt dissection
Suture Scissors	1
Farabeuf Retractors (Small, Double-ended)	2
Laparoscopic Mirror Retractor	2
Balfour Retractor or equivalent	1	For abdominal cavity access
Needle Holder, Mathieu or Hegar (14–18 cm)	2
Surgical Needles (various sizes)	4	Atraumatic, round, cutting
Abdominal Retractor (small, large)	2	Cutting and curved
Container	1	Mobile, sterile
SUTURE MATERIAL
Vicryl 2-0, 75 cm, Round Needle	6	Muscles and peritoneum closure
Vicryl 1-0, 75 cm, Round Needle	4	Aponeurosis
PDS II, 2-0, 90 cm, Round Needle	2	Aponeurosis, fascia
Vicryl 3-0, 75 cm, Round Needle	4	Intestine, Mesentery
Polypropylene (Prolene) 2-0, 75 cm, Cutting Needle	4	Skin, fascia
Vascular suture material (5-0, 6-0)	2 of each	For small vessels
Ligature Threads (Silk or Synthetic)	10	For vessels ligating
Disposable Skin Stapler + Remover	1	For rapid skin closure
DRESSING MATERIAL
Gauze Swabs 10×10 cm (Sterile)	30
Gauze Swabs Large 20×20 cm	10
Gauze Sponges (10×5 cm, in rolls)	10
Gauze Rolls / Laparotomy Sponges (X-Ray Detectable)	10
Sterile Bandages 7×14 cm	2
Hemostatic Sponge (Surgicel)	2
Sterile Incise Drape	1
Leukoplast Tape	1 roll
PERSONAL PROTECTIVE EQUIPMENT AND ASEPSIS
Sterile gloves (Pair)	3 pairs
Non-sterile gloves	4 pairs
Surgical masks	4
Sterile surgical gowns	3
Cap, Shoe covers	4 sets
Sterile drapes (with opening for laparotomy)	1
Skin antiseptic (Betadine, Skindez)	1 bottle
ADDITIONAL MATERIALS AND INSTRUMENTS
Aspiration catheter or tube	1	For blood and fluid removal
Surgical drains (Jackson-Pratt type or tubes)	3	For exudate drainage
Injection Needles and Syringes (10, 20 mL)	2 of each
Infusion Sets	2
Surgical Marker	1
Sterile container for organs/fragments	1
Biological Waste Bags	1

Laboratory tests 

Complete blood count;

Complete Urinalysis;

determination of blood type and Rh-factor;

Coagulation testing;

Biochemistry blood test (with mandatory determination of the Urea, Creatinine, blood Ph, Potassium, and other electrolytes level)

Average duration of the surgical procedure (min)

Instrumental examinations

Required personnel

1/2 assistant

surgical orderly

general surgeon

operating room nurse

Antibacterial Therapy (*Order of the Ministry of Health of Ukraine from June 01,2023 №1004)

For penetrating abdominal injuries: Ceftriaxone 2 g IV one-time or Cefazolin 2 g IV every 8 hours + Metronidazole 500 mg IV every 8–12 hours. As an alternative for shock or inability to take orally: Ertapenem 1 g IV once. Duration: 24 hours initially; in case of contamination or peritonitis - according to clinical assessment

VASCULAR REPAIR 

Name	Quantity	Notes / purposes
SURGICAL EQUIPMENT
Disposable scalpel №10, №11, №15	1 for each	For skin and tissue incision
Kocher clamp (straight, 14 cm)	2
Kocher clamp (curved, 14 cm)	2
Vascular clamp “Mosquito” (straight, 12.5 cm)	2	For small vessels
Vascular clamp “Mosquito” (curved, 12.5 cm)	2
Bulldog Clamp	4	For temporary occlusion of blood vessels
Forceps anatomical (pointed, 14 cm)	2
Forceps surgical (plain, 14 cm)	2
Adson forceps pointed	1	For delicate tissue grasping
Surgical Scissors Straight (14–16 cm)	1	For cutting through tissue
Surgical Scissors Curved (14–16 cm)	1	For blunt dissection
Suture Scissors	1
Farabeuf Retractors (Small, Double-ended)	2
Needle Holder, Mathieu or Hegar (14–18 cm)	1
Vascular Needle Holder (Crile-Wood or equivalent)	1
Atraumatic Surgical Needles	4	Cutting and rounded
Vascular Ties (Silicone or Textile)	4	For vessel isolation and control
Heparinized saline solution	1	For vessel flushing before anastomosis / after thrombectomy
Sterile Container	1	Mobile, for sterility
SUTURE MATERIAL
Vicryl 2-0, 75 cm, Round Needle	3	Muscles and deep tissues closure
Vicryl 3-0, 75 cm, Round Needle	3
Polypropylene (Prolene) 2-0, 75 cm, Cutting Needle	3	Skin
Ligature Threads (Silk or Synthetic)	15	For vessels ligating
Monofilament suture material (Polypropylene 4-0, 5-0, 6-0)	2 of each	For vascular sutures
Disposable Skin Stapler + Remover	1	For rapid skin closure
DRESSING MATERIAL
Gauze Swabs 10×10 cm (Sterile)	20
Gauze Swabs Large 20×20 cm	10
Gauze Sponges (10×5 cm, in rolls)	10
Sterile Bandages 7×14 cm	5
Elastic Bandages (8 cm x 4 m)	5
Hemostatic Sponge (Surgicel)	3
Leukoplast Tape	1 roll
PERSONAL PROTECTIVE EQUIPMENT AND ASEPSIS
Sterile gloves (Pair)	3 pairs
Non-sterile gloves	2 pairs
Surgical masks	3
Sterile surgical gowns	3
Cap, Shoe covers	3 sets
Sterile drapes	2
Skin antiseptic (Betadine, Skindez)	1 bottle
ADDITIONAL MATERIALS AND INSTRUMENTS
Aspiration catheter or tube	1	For blood and fluid removal
Surgical drains (15-18 Fr)	2	For exudate drainage
Injection Needles and Syringes (5, 10, 20 mL)	2 of each

Laboratory tests  

Complete blood count;

determination of blood type and Rh-factor;

Coagulation testing;

Biochemistry blood test (with mandatory determination of the Urea, Creatinine, blood Ph, Potassium, and other electrolytes level)

Average duration of the surgical procedure (min) 

Instrumental examinations

Required personnel

Assistant

surgical orderly

vascular or general surgeon

operating room nurse

Antibacterial Therapy (*Order of the Ministry of Health of Ukraine from June 01,2023 №1004)

Cefazolin 2 g IV every 8 hours (or Clindamycin in case of allergy). Duration: up to 24 hours prophylactically; in case of significant contamination or repeated interventions, continue in accordance with indications.

EX FIX INSTALLATION

Name	Quantity	Notes / purposes
SURGICAL EQUIPMENT
Disposable scalpel №10, №11, №15	1 for each	For skin and tissue incision
Kocher clamp (straight, 14 cm)	2
Kocher clamp (curved, 14 cm)	2
Vascular clamp “Mosquito” (straight, 12.5 cm)	1	For small vessels
Vascular clamp “Mosquito” (curved, 12.5 cm)	1
Billroth/Mikulicz Forceps	2
Forceps anatomical (pointed, 14 cm)	2
Forceps surgical (plain, 14 cm)	2
Surgical Scissors Straight (14–16 cm)	1	For cutting through tissue
Surgical Scissors Curved (14–16 cm)	1	For blunt dissection
Suture Scissors	1
Farabeuf Retractors (Small, Double-ended)	2
Needle Holder, Mathieu or Hegar (14–18 cm)	1
Atraumatic Surgical Needles	4	Cutting and rounded
Orthopedic Drill	1	Drilling of bone for screw insertion
Screw driver and wrench set for element fixation	1 set	Device installation
External Fixation Pins (5–6 mm, length 150–200 mm)	6–8	Main fixation elements
Pin Clamps	6–8	Pins fixation in the frame
Connecting Rods	2–4	For fixator frame formation
Or ready-to use sets of pins, pin clamps, and rods for various localizations (humerus/forearm/femur/tibia) (e.g., Stryker)
Sterile Container	1	Mobile, for sterility
SUTURE MATERIAL
Vicryl 2-0, 75 cm, Round Needle	3	Muscles and deep tissues closure
Vicryl 3-0, 75 cm, Round Needle	3	Subcutaneous Tissues
Polypropylene (Prolene) 2-0, 75 cm, Cutting Needle	3	Skin
Ligature Threads (Silk or Synthetic)	10	For vessels ligating
DRESSING MATERIAL
Gauze Swabs 10×10 cm (Sterile)	15
Gauze Swabs Large 20×20 cm	10
Gauze Sponges (10×5 cm, in rolls)	5
Sterile Bandages 7×14 cm	5
Elastic Bandages (8 cm x 4 m)	5
Leukoplast Tape	1 roll
ADDITIONAL MATERIALS AND INSTRUMENTS
Tourniquet (CAT)	1	Temporary hemorrhage control
Aspiration catheter or tube	1	For blood and fluid removal
Surgical drains (15-18 Fr)	2	For exudate drainage
Injection Needles and Syringes (5, 10, 20 mL)	2 of each

Laboratory tests  

Complete blood count;

determination of blood type and Rh-factor;

Coagulation testing;

Biochemistry blood test (with mandatory determination of the Urea, Creatinine, blood Ph, Potassium, and other electrolytes level)

Average duration of the surgical procedure (min)

Instrumental examinations

Required personnel

operating room nurse

traumatologist or general surgeon

surgical orderly

Antibacterial Therapy (*Order of the Ministry of Health of Ukraine from June 01,2023 №1004)

For open fractures: Cefazolin 2 g IV every 8 hours + Metronidazole 500 mg IV in case of contamination; in case of allergy — Clindamycin. Duration: 24 hours initially, then as indicated.

LIMB AMPUTATION

Name	Quantity	Notes / purposes
SURGICAL EQUIPMENT
Disposable scalpel №10, №11	1 for each	For skin and tissue incision
Kocher clamp (straight, 14 cm)	2
Kocher clamp (curved, 14 cm)	2
Vascular clamp “Mosquito” (straight, 12.5 cm)	1	For small vessels
Vascular clamp “Mosquito” (curved, 12.5 cm)	1
Billroth/Mikulicz Forceps	2
Forceps anatomical (pointed, 14 cm)	2
Forceps surgical (plain, 14 cm)	2
Surgical Scissors Straight (14–16 cm)	1	For cutting through tissue
Surgical Scissors Curved (14–16 cm)	1	For blunt dissection
Suture Scissors	1
Farabeuf Retractors (Small, Double-ended)	2
Needle Holder, Mathieu or Hegar (14–18 cm)	1
Atraumatic Surgical Needles	4	Cutting and rounded
Surgical Saw (Gigli or equivalent)	1	For the resection of bone
Gigli Saw Handle	2	Fixing the saw
Surgical Chisel and Mallet	1 set	Bone edge shaping
Bone Cutter	1	To cut bone fragments
Amputation Knife	1	For soft tissues cutting
Amputation Retractor	1
Sterile Container	1	Mobile, for sterility
SUTURE MATERIAL
Vicryl 2-0, 75 cm, Round Needle	3	Muscles and deep tissues closure
Vicryl 3-0, 75 cm, Round Needle	3	Subcutaneous Tissues
Polypropylene (Prolene) 2-0, 75 cm, Cutting Needle	3	Skin
Ligature Threads (Silk or Synthetic)	10	For vessels ligating
DRESSING MATERIAL
Gauze Swabs 10×10 cm (Sterile)	20
Gauze Swabs Large 20×20 cm	10
Gauze Sponges (10×5 cm, in rolls)	10
Sterile Bandages 7×14 cm	5
Elastic Bandages (8 cm x 4 m)	5
Leukoplast Tape	1 roll
ADDITIONAL MATERIALS AND INSTRUMENTS
Surgical drains (15-18 Fr)	2	For exudate drainage
Tourniquet (CAT)	1	Temporary hemorrhage control

Laboratory tests  

Complete blood count;

Complete Urinalysis;

determination of blood type and Rh-factor;

Coagulation testing;

Biochemistry blood test (with mandatory determination of the Urea, Creatinine, blood Ph, Potassium, and other electrolytes level)

Average duration of the surgical procedure (min)

Instrumental examinations

Required personnel 

assistant

surgical orderly

traumatologist or general surgeon

operating room nurse

 Antibacterial Therapy (*Order of the Ministry of Health of Ukraine from June 01,2023 №1004)

Cefazolin 2 g IV every 8 hours (or Clindamycin 900 mg IV every 8 hours in case of allergy). Duration: 24 hours initially; in case of extensive contamination or necrosis, continue as indicated.

WOUND DEBRIDEMENT (Large)

Name	Quantity	Notes / purposes
SURGICAL EQUIPMENT
Disposable scalpel №10, №11	1 for each	For skin and tissue incision
Kocher clamp (straight, 14 cm)	2
Kocher clamp (curved, 14 cm)	2
Vascular clamp “Mosquito” (straight, 12.5 cm)	2	For small vessels
Vascular clamp “Mosquito” (curved, 12.5 cm)	2
Billroth/Mikulicz Forceps	2
Forceps anatomical (pointed, 14 cm)	2
Forceps surgical (plain, 14 cm)	2
Adson forceps pointed	1	For delicate tissue grasping
Surgical Scissors Straight (14–16 cm)	1	For cutting through tissue
Surgical Scissors Curved (14–16 cm)	1	For blunt dissection
Suture Scissors	1
Farabeuf Retractors (Small, Double-ended)	2
Needle Holder, Mathieu or Hegar (14–18 cm)	1
Atraumatic Surgical Needles	4	Cutting and rounded
Curette	1	For necrotic tissue removal
Sterile Container	1	Mobile, for sterility
SUTURE MATERIAL
Vicryl 2-0, 75 cm, Round Needle	3	Muscles and deep tissues closure
Vicryl 3-0, 75 cm, Round Needle	3	Subcutaneous Tissues
Polypropylene (Prolene) 2-0, 75 cm, Cutting Needle	3	Skin
Ligature Threads (Silk or Synthetic)	4	For vessels ligating
Disposable Skin Stapler + Remover	1	For rapid skin closure
Vascular suture material (5-0, 6-0)	2 of each
DRESSING MATERIAL
Gauze Swabs 10×10 cm (Sterile)	20
Gauze Swabs Large 20×20 cm	10
Gauze Sponges (10×5 cm, in rolls)	10
Sterile Bandages 7×14 cm	5
Elastic Bandages (8 cm x 4 m)	5
Laparotomy Sponges (X-Ray Detectable)	5	Wound control
Hemostatic Sponge (Surgicel)	2
Leukoplast Tape	1 roll
Sterile Incise Drape	1
PERSONAL PROTECTIVE EQUIPMENT AND ASEPSIS
Sterile gloves (Pair)	3 pairs
Non-sterile gloves	2 pairs
Surgical masks	3
Sterile surgical gowns	3
Cap, Shoe covers	3 sets
Sterile drapes	2
Skin antiseptic (Betadine, Skindez)	1 bottle
ADDITIONAL MATERIALS AND INSTRUMENTS
Aspiration catheter or tube	1	For blood and fluid removal
Surgical drains (15-18 Fr)	2	For exudate and pus drainage
Injection Needles and Syringes (10, 20 mL)	2 of each

Laboratory tests  

Complete blood count;

determination of blood type and Rh-factor;

Average duration of the surgical procedure (min)

Instrumental examinations

Required personnel

operating room nurse

general surgeon

surgical orderly

Antibacterial Therapy (*Order of the Ministry of Health of Ukraine from June 01,2023 №1004)

Cefazolin 2 g IV every 8 hours (or Clindamycin 900 mg IV every 8 hours in case of allergy

WOUND DEBRIDEMENT (Middle)

Name	Quantity	Notes / purposes
SURGICAL EQUIPMENT
Disposable scalpel №10, №11	1 for each	For skin and tissue incision
Kocher clamp (straight, 14 cm)	1
Kocher clamp (curved, 14 cm)	1
Vascular clamp “Mosquito” (straight, 12.5 cm)	1	For small vessels
Vascular clamp “Mosquito” (curved, 12.5 cm)	1
Billroth/Mikulicz Forceps	1
Forceps anatomical (pointed, 14 cm)	1
Forceps surgical (plain, 14 cm)	1
Adson forceps pointed	1	For delicate tissue grasping
Surgical Scissors Straight (14–16 cm)	1	For cutting through tissue
Surgical Scissors Curved (14–16 cm)	1	For blunt dissection
Suture Scissors	1
Farabeuf Retractors (Small, Double-ended)	2
Needle Holder, Mathieu or Hegar (14–18 cm)	1
Atraumatic Surgical Needles	2	Cutting and rounded
Curette	1	For necrotic tissue removal
Sterile Container	1	Mobile, for sterility
SUTURE MATERIAL
Vicryl 2-0, 75 cm, Round Needle	1	Muscles and deep tissues closure
Vicryl 3-0, 75 cm, Round Needle	1	Subcutaneous Tissues
Polypropylene (Prolene) 2-0, 75 cm, Cutting Needle	1	Skin
Ligature Threads (Silk or Synthetic)	2	For vessels ligating
Vascular suture material (5-0, 6-0)	1
DRESSING MATERIAL
Gauze Swabs 10×10 cm (Sterile)	10
Gauze Swabs Large 20×20 cm	5
Gauze Sponges (10×5 cm, in rolls)	5
Sterile Bandages 7×14 cm	3
Elastic Bandages (8 cm x 4 m)	2
Laparotomy Sponges (X-Ray Detectable)	2	Wound control
Hemostatic Sponge (Surgicel)	1
Leukoplast Tape	1 roll
PERSONAL PROTECTIVE EQUIPMENT AND ASEPSIS
Sterile gloves (Pair)	2 pairs
Non-sterile gloves	2 pairs
Surgical masks	3
Sterile surgical gowns	2
Cap, Shoe covers	3 sets
Sterile drapes	1
Skin antiseptic (Betadine, Skindez)	1 bottle
ADDITIONAL MATERIALS AND INSTRUMENTS
Surgical drains (15-18 Fr)	1	For exudate and pus drainage
Injection Needles and Syringes (10, 20 mL)	1 of each

Laboratory tests  

Complete blood count;

determination of blood type and Rh-factor;

Average duration of the surgical procedure (min)

Instrumental examinations

Required personnel

operating room nurse

general surgeon

surgical orderly

Antibacterial Therapy (*Order of the Ministry of Health of Ukraine from June 01,2023 №1004)

Cefazolin 2 g IV every 8 hours (or Clindamycin 900 mg IV every 8 hours in case of allergy

WOUND DEBRIDEMENT (Small)

Name	Quantity	Notes / purposes
SURGICAL EQUIPMENT
Disposable scalpel №10, №11	1 for each	For skin and tissue incision
Kocher clamp (straight, 14 cm)	1
Vascular clamp “Mosquito” (straight, 12.5 cm)	1	For small vessels
Forceps anatomical (pointed, 14 cm)	1
Forceps surgical (plain, 14 cm)	1
Adson forceps pointed	1	For delicate tissue grasping
Surgical Scissors Curved (14–16 cm)	1
Suture Scissors	1
Farabeuf Retractors (Small)	2
Needle Holder, Mathieu or Hegar (14–18 cm)	1
Atraumatic Surgical Needles	2	Cutting and rounded
Curette	1	For necrotic tissue removal
Sterile Container	1	Mobile, for sterility
SUTURE MATERIAL
Vicryl 2-0, 75 cm, Round Needle	1	Muscles and deep tissues closure
Vicryl 3-0, 75 cm, Round Needle	1	Subcutaneous Tissues
Polypropylene (Prolene) 3-0, 75 cm, Cutting Needle	1	Skin
Ligature Threads (Silk or Synthetic)	2	For vessels ligating
DRESSING MATERIAL
Gauze Swabs 10×10 cm (Sterile)	5
Gauze Swabs Large 20×20 cm	3
Sterile Bandages 7×14 cm	2
Elastic Bandages (8 cm x 4 m)	1
Leukoplast Tape	1 roll
PERSONAL PROTECTIVE EQUIPMENT AND ASEPSIS
Sterile gloves (Pair)	2 pairs
Non-sterile gloves	2 pairs
Surgical masks	3
Sterile surgical gowns	2
Cap, Shoe covers	3 sets
Sterile drapes	1
Skin antiseptic (Betadine, Skindez)	1 bottle
ADDITIONAL MATERIALS AND INSTRUMENTS
Injection Needles and Syringes (5, 10, 20 mL)	1 of each

Laboratory tests 

Complete blood count;

determination of blood type and Rh-factor;

Average duration of the surgical procedure (min)

Instrumental examinations

Required personnel

operating room nurse

general surgeon

surgical orderly

Antibacterial Therapy (*Order of the Ministry of Health of Ukraine from June 01,2023 №1004)

Cefazolin 2 g IV every 8 hours (or Clindamycin 900 mg IV every 8 hours in case of allergy

N.B.

It is advisable to additionally supply each kit for 100 patients with:

• Additional suture materials - +1 of each type and size

• Hemostatic agents: hemostatic sponge (e.g., Surgicel, Surgispon, etc.) — 5 pieces

• Tourniquets (Combat Application Tourniquet) - 2–3 per kit