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CHOICE OF TREATMENT TACTICS OF SEVERE COMBINED CHEST AND ABDOMEN STAB WOUNDS UNDER THE FIRST LEVEL TRAUMA CENTER CONDITIONS

https://doi.org/10.24884/2072-6716-2016-17-3-46-51

Abstract

Results of treatment of 389 cases with combined chest and abdomen stab wounds are present. It was proved that a correct choice of surgical procedures sequence and their capacity ensures the successful treatment in cases with combined chest and abdomen stab wounds. Usage of suggested algorithm allow to reduce a quantity of postoperative complications from 45,2% to 21,3% and mortality - from 13,5% to 6,2%.

About the Authors

V. Yu. Markevich
Military Medical Academy named after S.M. Kirov
Russian Federation


V. V. Suvorov
Military Medical Academy named after S.M. Kirov
Russian Federation


K. V. Petukhov
Military Medical Academy named after S.M. Kirov
Russian Federation


A. V. Goncharov
Military Medical Academy named after S.M. Kirov
Russian Federation


A. A. Pichugin
Military Medical Academy named after S.M. Kirov
Russian Federation


I. M. Samokhvalov
Military Medical Academy named after S.M. Kirov
Russian Federation


References

1. Vargo D.J., Battistella F.D. Abbreviated Thoracotomy and Temporary Chest Closure. An Application of Damage control after Thoracie Trauma // Arch. Surg. - 2001. -Vol. 136. - P. 21-24.

2. Авилова О.Н., Макаров А.В., Ватлин А.В. и др. Торакоабдоминальные ранения // Клин. хир. - 1984. - № 4. - С. 6-9.

3. Самохвалов И.М., Гончаров А.В., Суворов В.В., Рева В.А. Особенности диагностических и лечебных мероприятий при огнестрельной и минно-взрывной травме живота // Абдоминальная хирургия. Национальное руководство. Краткое издание / под ред. И.И. Затевахина, А.И. Кириенко, В.А. Кубышкина. - М.: ГЭОТАР-Медиа, 2016.- С. 115-136.

4. Самохвалов И.М., Завражнов А.А., Кизявка М.И. Диагностика и хирургическая тактика при ранениях сердца и перикарда // Вестник хирургии. - 2001. -Т. 160, № 5. - С. 102-108.

5. Жестков К.Г. Воскресенский О.В., Абакумов М.М. Новые хирургические технологии в лечении травмы груди // Эндоскопическая хирургия. - 2007. - С. 43.

6. Абакумов М.М. Множественные и сочетанные ранения шеи, груди и живота // Руководство для врачей. - М., 2012.- С. 475-493.

7. D’Souza N., BruceJ.L., ClarkeD.L. et al. Laparoscopy for Occult Left-sided Diaphragm Injury Following Penetrating Thoracoabdominal Trauma is Both Diagnostic and Therapeutic // Surg. Laparosc Endosc Percutan Tech. - 2016. - Vol. 26.-P. 5-8.

8. Che Lee, Chao-Wen Chen, Yen-Ko Lin et al. Association of head, thoracic and abdominal trauma with delayed diagnosis of co // Existing injuries in critical trauma patients. - 2014. - Vol. 45. - P. 1429-1434.

9. Бисенков Л.Н., Бебия Н.В., Гришаков С.В. и др. Торакальная хирургия // Руководство для врачей. - СПб., 2004. - С. 216-295.


Review

For citations:


Markevich V.Yu., Suvorov V.V., Petukhov K.V., Goncharov A.V., Pichugin A.A., Samokhvalov I.M. CHOICE OF TREATMENT TACTICS OF SEVERE COMBINED CHEST AND ABDOMEN STAB WOUNDS UNDER THE FIRST LEVEL TRAUMA CENTER CONDITIONS. EMERGENCY MEDICAL CARE. 2016;17(3):46-51. (In Russ.) https://doi.org/10.24884/2072-6716-2016-17-3-46-51

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ISSN 2072-6716 (Print)