Differentiated surgical tactics for abdominal trauma, accompanied by damage to the liver and spleen

Cover Page


Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

Abstract

The advantages of the implementation of a differentiated approach for the diagnosis and treatment of abdominal trauma accompanied by damage to the liver and spleen are presented. The following treatment strategies are used to diagnose and treat abdominal injuries: ETC, DCS, and NOM. The choice of the optimal treatment protocol is carried out in the course of applying a differentiated treatment and diagnostic algorithm, the main criteria of which are the results of clinical and instrumental examination with an assessment of the severity of the condition. It is important to use modern practical classifications of liver and spleen injuries identified during patient examination. Based on the analysis of treatment materials for 151 patients with abdominal trauma, accompanied by damage to the liver and spleen, it was found that the implementation of a differentiated approach is safe and justified.

Full Text

Restricted Access

About the authors

V. V Suvorov

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: vasily_med@mail.ru
St. Petersburg, Russia

V. Yu Markevich

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

Email: vitaly-med@mail.ru
St. Petersburg, Russia

A. V Goncharov

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

A. A Pichugin

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

N. I Myasnikov

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

K. V Petukhov

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

P. I Kuraev

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

A. M Nosov

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

M. V Kaznacheev

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

T. Yu Skakunova

The S.M.Kirov Military Medical Academy of the Ministry of Defense of the Russian Federation

St. Petersburg, Russia

References

  1. Гончаров А.В., Носов А.М. Оперативное и консервативное лечение травм печени. Смена концепции / Общероссийский хирургический форум-2020. URL:https://congress. surgeons.ru/images/XIII_roh_2020/programm_ 2020_1.pdf (дата обращения: 20.06.2021).
  2. Самохвалов И.М., Бадалов В.И., Суворов В.В. и др. Реалии и перспективы применения объективных шкал в лечении раненых и пострадавших // Мед. вестн. МВД. - 2015. - № 3 (76). - С. 15-18.
  3. Суворов В.В., Гончаров А.В., Маркевич В.Ю. Травма селезенки: удалять или сохранять / Общероссийский хирургический форум-2020. URL: https://congress.surgeons.ru/images/XIII_roh_2020/programm_2020_1.pdf (дата обращения: 20.06.2021).
  4. Суворов В.В., Маркевич В.Ю., Пичугин А.А. и др. Скорая медицинская помощь в стационаре: результаты внедрения дифференцированного лечебно-диагностического алгоритма при тяжелой сочетанной травме живота в травмоцентре первого уровня // Скорая мед. помощь. - 2016. - Т. 17, № 4. - С. 45-50.
  5. Brillantino A., Iacobellis F., Festa P. et al. Non-operative management of blunt liver trauma: safety, efficacy and complications of a standardized treatment protocol // Bull. Emerg. trauma. - 2019. - Vol. 7, N 1. - P. 49-54.
  6. Haan J.M., Bochicchio G.V., Kramer N., Scalea T.M. Nonoperative management of blunt splenic injury: a 5-year experience // J. Trauma. - 2005. - Vol. 58. - P. 492-498.
  7. Kumar V., Mishraa B., Kumar M. J. et al. Early hospital discharge following non-operative management of blunt liver and splenic trauma: A pilot randomized controlled trial // Injury. - 2021. - Vol. 52, Iss. 2. - P. 260-265.

Copyright (c) 2021 Eco-Vector

This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies