FEATURES OF SURGICAL TACTICS IN WOUNDS OF THE ANTERIORABDOMINAL WALL AND LUMBAR REGION WITH LIVER DAMAGE

B V Sigua; V P Zemlyanoy; Zh E Badalova; K D Yalda; G N Gorbunov

doi:10.17816/mechnikov20146416-20

HERALD of North-Western State Medical University named after I.I. Mechnikov ›› 2014, Vol. 6 ›› Issue (4) :16 -20. DOI: 10.17816/mechnikov20146416-20

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FEATURES OF SURGICAL TACTICS IN WOUNDS OF THE ANTERIORABDOMINAL WALL AND LUMBAR REGION WITH LIVER DAMAGE

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Abstract

We analyzed the results of treatment of 339 patients with wounds of abdominal and lumbar regions, that were treated during the period from 1991 to 2010. For the purpose of continuity in providing of the specialized surgical care we used the scales, evaluating the severity of multiple and combined injuries, developed by military surgery department (VPH-P ((R) and (OR))) and the classification of liver damages by E. Moore. Abandonment of liver injury packing in favor of suturing allowed to achieve a significant reduction of post-operative complications in patients with injuries of the abdomen and lumbar region with liver damage from 24.1% (40) to 9.2% (16) (p <0,001), and the level of mortality from 6.1% (10) to 1.2% (p <0.05).

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abdominal injuries / injuries of the lumbar region / liver injury / diagnosis / treatment

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B V Sigua, V P Zemlyanoy, Zh E Badalova, K D Yalda, G N Gorbunov. FEATURES OF SURGICAL TACTICS IN WOUNDS OF THE ANTERIORABDOMINAL WALL AND LUMBAR REGION WITH LIVER DAMAGE. HERALD of North-Western State Medical University named after I.I. Mechnikov, 2014, 6(4): 16-20 DOI:10.17816/mechnikov20146416-20

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References

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[1]	Cothren C.C., Moore E.E. Hepatic Trauma// European Journal of Trauma and Emergency Surgery. 2008. - Vol. 34/ P. 339.

[2]	Piper G.L., Peitzman A.B. Current management of hepatic trauma// The Surgical Clinics of North America. 2010. - Vol. 90, № 4. P. 775-785.

[3]	Zantut L. F., Ivatury R.R., Smith R.S. et al. Diagnostic and therapeutic laparocopy for penetrating abdominal trauma: a multicenter experience // J. Trauma. 1997. - Vol. 42, № 5. P. 825-829.

[4]	Брюсов П.Г., Ефименко Н.А., Розанов В.Е. Оказание специализированной хирургической помощи при тяжелой механической сочетанной травме // Вестн. хир. - 2001., № 1- С. 43.

[5]	Гуманенко, Е.К. Военно-полевая хирургия / Е.К. Гуманенко. - М.: ГЭОТАР-Медиа, 2008. - С. 763.

[6]	Цыбуляк Г.Н. Частная хирургия механических повреждений.- СПб.: Гиппократ, 2011. 576 с.

[7]	Ерюхин И.А., Бояринцев В.В. Диагностика и лечение огнестрельных ранений и закрытых травм печени //Анналы хирургической гепатологии. - 2002., №3. - С.188-189.

[8]	Ибадильдин А.С., Кравцов В.И. Диагностика и хирургическая тактика при изолированной и сочетанной травме печени// Практическая медицина. - 2013., № 2. - С. 49 - 51.