Email this article FEATURES OF SURGICAL TACTICS IN WOUNDS OF THE ANTERIORABDOMINAL WALL AND LUMBAR REGION WITH LIVER DAMAGE
- Authors: Sigua BV1, Zemlyanoy VP1, Badalova Z.E1, Yalda KD1, Gorbunov GN1
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Affiliations:
- North-West State Medical University named after I.I. Mechnikov, Saint-Petersburg, Russia
- Issue: Vol 6, No 4 (2014)
- Pages: 16-20
- Section: Reviews
- URL: https://journals.eco-vector.com/vszgmu/article/view/8440
- DOI: https://doi.org/10.17816/mechnikov20146416-20
- ID: 8440
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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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About the authors
B V Sigua
North-West State Medical University named after I.I. Mechnikov, Saint-Petersburg, Russia
V P Zemlyanoy
North-West State Medical University named after I.I. Mechnikov, Saint-Petersburg, Russia
Zh E Badalova
North-West State Medical University named after I.I. Mechnikov, Saint-Petersburg, Russia
K D Yalda
North-West State Medical University named after I.I. Mechnikov, Saint-Petersburg, Russia
G N Gorbunov
North-West State Medical University named after I.I. Mechnikov, Saint-Petersburg, Russia
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Supplementary files
СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).