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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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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Copyright (c) 2014 Sigua B.V., Zemlyanoy V.P., Badalova Z.E., Yalda K.D., Gorbunov G.N.

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