Anastasiya Gribanova
BBC Ukrainian Service, Kyiv
Scarlett Barter
BBC World Service
Kevin McGregor / BBC
Ukrainian serviceman Serhiy Melnyk holds the portion of shrapnel that was erstwhile lodged successful his heart
From his pocket, Serhiy Melnyk pulls retired a tiny rusty shard, wrapped neatly successful paper.
He holds it up. "It grazed my kidney, pierced my lung, and my heart," says the Ukrainian serviceman quietly.
Traces of dried humor are inactive disposable connected the shrapnel from a Russian drone that became lodged successful his bosom portion helium was warring successful eastbound Ukraine.
"I didn't adjacent realise what it was astatine archetypal — I thought I was conscionable abbreviated of enactment nether my assemblage armour," helium says. "They had to extract shrapnel retired of my heart."
With the emergence of drone warfare successful Ukraine, these injuries are becoming much common. Drones often transportation weapons and materials which fragment and origin much analyzable shrapnel wounds.
According to Ukrainian subject medics, shrapnel wounds present marque up to 80% of battlefield trauma.
Untreated, Serhiy's wounded would person been fatal.
"The fragment was arsenic crisp arsenic a blade. Doctors said it was a ample piece, and that I was fortunate to survive," helium says reflectively.
But it wasn't conscionable luck that saved him, it was a caller portion of aesculapian technology. A magnetic extractor.
Kevin McGregor / BBC
Serhiy Maksymenko's squad removed the shrapnel from Serhiy's heart
'I marque a tiny incision and insert the magnet'
Cardiovascular surgeon Serhiy Maksymenko shows footage of the metallic fragment trapped successful Serhiy's beating bosom earlier it is delicately removed by a bladed magnet-tipped device.
"You don't person to marque ample cuts successful the heart," explains Dr Maksymenko. "I conscionable marque a tiny incision, insert the magnet, and it pulls the shrapnel out."
In conscionable 1 year, Doctor Maksymenko's squad has performed implicit 70 palmy bosom operations with the device, which has changed the look of front-line medicine successful Ukraine.
The improvement of these extractors came aft front-line medics highlighted the urgent request for a safe, fast, minimally invasive mode to region shrapnel.
Oleh Bykov - who utilized to enactment arsenic a lawyer - drove this development. Since 2014 helium has been supporting the service arsenic a volunteer. He met medics connected the beforehand enactment and from his conversations the magnetic extractors were created.
The conception isn't new. Magnets were utilized for removing metallic from wounds arsenic acold backmost arsenic the Crimean War successful the 1850s. But Oleh's squad modernised the approach, creating flexible models for abdominal surgery, micro-extractors for delicate work, and high-strength tools for bones.
Operations person go much precise and little invasive. The magnet tin beryllium tally on the aboveground of a coiled to gully fragments out. Surgeons past marque a tiny incision and the portion is removed.
Holding a slim pen-shaped tool, Oleh demonstrates its powerfulness by lifting a sledgehammer with the magnetic tip.
Kevin McGregor / BBC
The magnets are almighty capable to assistance a sledgehammer
His enactment has been commended by different warfare medics including David Nott, a seasoned of warfare zones astir the world.
"In war, things get developed which would ne'er person been thought of successful civilian life," helium says.
Fragmentation wounds person accrued owed to the changing look of war, and due to the fact that they instrumentality a agelong clip to find helium believes this instrumentality could beryllium a crippled changer.
He says looking for shrapnel successful patients is similar "looking for a needle successful a haystack"- it is not ever palmy and delays attraction of different casualties.
Searching for fragments manually tin beryllium unsafe and requires bigger incisions that tin origin much bleeding – "so to beryllium capable conscionable to simply find them utilizing a magnet is ingenious."
Dnipro cardiac center
The magnetic extractor that removed the shrapnel from Serhiy's heart
What began arsenic a tract instrumentality has present been rolled retired crossed Ukraine, with 3,000 units distributed to hospitals and front-line medics, similar Andriy Alban who says helium has travel to trust connected the device.
He often works portion nether fire, successful trenches oregon makeshift outdoor clinics, and sometimes without section anaesthetic.
"My occupation is to prevention lives - bandage wounds and get soldiers evacuated," helium says.
There has been nary authoritative certification of the magnetic extractor.
The Ukrainian Health Ministry says aesculapian devices indispensable comply afloat with method regulations. However, successful exceptional cases, specified arsenic martial instrumentality oregon a authorities of emergency, the usage of uncertified devices is allowed to conscionable the needs of the subject and information forces.
At the tallness of war, there's nary clip for reddish tape, mastermind Oleh explains. "These devices prevention lives. If idiosyncratic thinks my actions are a crime, I'll instrumentality responsibility. I'm adjacent prepared to spell to jailhouse if it comes to that. But past each the doctors who usage these devices should beryllium incarcerated too," helium adds fractional jokingly.
David Nott agrees that certification is not a apical precedence for present and believes the instrumentality could beryllium adjuvant successful different warfare zones specified arsenic Gaza.
"In war, it's not truly necessary. You lone bash the things which are important to prevention lives."
Back successful Lviv, Serhiy's woman Yulia is conscionable grateful her hubby survived his injury.
"I conscionable privation to praise those radical who invented this extractor," she says tearfully. "Thanks to them, my hubby is alive."
Additional reporting by Jasmin Dyer and Kevin McGregor.