Thoracoabdominal stab wounds: modern surgical tactics
https://doi.org/10.24884/0042-4625-2019-178-1-34-38
Abstract
The objective was to determine the optimal therapeutic and diagnostic algorithm for thoracoabdominal injury.
Material and methods. The results of the examination and treatment of 389 injured patients with combined stab wounds of chest and abdomen were analyzed. The injuries were thoracoabdominal in 54 (13.9 %) cases.
Results. We analyzed instrumental invasive and non-invasive diagnostic methods. The sequence of surgical interventions was determined.
Conclusion. We revealed that the correct sequence and volume of surgical intervention ensured the success of treating the injured patients, while in cases of competing sources of bleeding, priority should be given in favor of performing thoracotomy.
About the Authors
B. N. Kotiv
Military Medical Academy named after S. M. Kirov
Russian Federation
Russian Federation
Bogdan N. Kotiv
St. Petersburg
I. M. Samokhvalov
Military Medical Academy named after S. M. Kirov
Russian Federation
Russian Federation
Igor M. Samokhvalov
St. Petersburg
V. Ju. Markevich
Military Medical Academy named after S. M. Kirov
Russian Federation
Corresponding author: Vitalii Iu. Markevich, Military Medical Academy named after S. M. Kirov, 6 Academica Lebedeva street, St. Petersburg, Russia, 194044
Russian Federation
Corresponding author: Vitalii Iu. Markevich, Military Medical Academy named after S. M. Kirov, 6 Academica Lebedeva street, St. Petersburg, Russia, 194044
I. I. Dzidzava
Military Medical Academy named after S. M. Kirov
Russian Federation
Russian Federation
Iliia I. Dzidzava
St. Petersburg
O. V. Barinov
Military Medical Academy named after S. M. Kirov
Russian Federation
Russian Federation
Oleg V. Barinov
St. Petersburg
V. V. Suvorov
Military Medical Academy named after S. M. Kirov
Russian Federation
Russian Federation
Vasilii V. Suvorov
St. Petersburg
A. V. Goncharov
Military Medical Academy named after S. M. Kirov
Russian Federation
Russian Federation
Aleksei V. Goncharov
St. Petersburg
K. V. Petukhov
Military Medical Academy named after S. M. Kirov
Russian Federation
Russian Federation
Konstantin V. Petukhov
St. Petersburg
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Review
For citations:
Kotiv B.N., Samokhvalov I.M., Markevich V.J., Dzidzava I.I., Barinov O.V., Suvorov V.V., Goncharov A.V., Petukhov K.V. Thoracoabdominal stab wounds: modern surgical tactics. Grekov's Bulletin of Surgery. 2019;178(1):34-38. (In Russ.) https://doi.org/10.24884/0042-4625-2019-178-1-34-38
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