CLOSED ABDOMINAL INJURY WITH LIVER DAMAGE
https://doi.org/10.24884/0042-4625-2015-174-1-9-15
Abstract
An analysis of the treatment results was made in 447 patients with closed abdominal injury combined with liver damage. An individualized treatment-and-diagnostic program considering the data of field surgery- MT scale was applied in victims with closed abdominal trauma with liver damage. At the same time the classification E. Moore et.all (1990) for liver injuries was used for assistance. The indications for endovideosurgical homeostasis, a primary suture of liver wound and the hepatic resection were determined. The indications for packing the liver wound were specialized using strategy of «Damage control». An application of given individualized surgical strategy allowed reduction of the lethality level from 32,3% to 17,1% in the case of closed abdominal trauma with liver damage.
About the Authors
B. V. Sigua
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Russian Federation
V. P. Zemlyanoy
North-Western State Medical University named after I. I. Mechnikov
Russian Federation
Russian Federation
A. K. Dyukov
Municipal hospital of St. Elizabeth
Russian Federation
Russian Federation
References
1. Абакумов М. М., Лебедев Н. В., Малярчук В. И. Повреждения живота при сочетанной травме. М.: Медицина, 2005. 176 с.
2. Борисов А. Е., Кубачев К. Г., Мухуддинов Н. Д. и др. Диагностика и хирургическое лечение изолированных и сочетанных травматических повреждений печени // Вестн. хир. 2007. № 4. С. 35-39.
3. Гуляев А. А., Пахомова Г. В., Ярцев П. А. и др. Видеолапароскопия при закрытой травме живота// Эндоскоп. хир. 2006. № 2. С. 36-37.
4. Гуманенко Е. К. Военно-полевая хирургия. М.: ГЭОТАР-Медиа, 2008. 763 с.
5. Ермолов А. С., Абакумов М. М., Владимирова Е. С. Травма печени. М.: Медицина, 2003. 191 с.
6. Ермолов А. С., Абакумов М. М., Соколов В. А. и др. Общие вопросы оказания медицинской помощи при сочетанной травме// Хирургия. 2003. № 12. С. 7-12.
7. Козлов И. З., Горшков С. З., Волков В. С. Повреждения живота. М.: Медицина, 1988. 224 с.
8. Савельев B. C. Руководство по неотложной хирургии органов брюшной полости. М.: Триада-Х, 2005. 640 с.
9. Синенченко Г. И., Курыгин А. А., Багненко С. Ф. Хирургия острого живота. СПб.: ЭЛЬБИ-СПб., 2007. 512 с.
10. Шапкин В. С., Гриненко Ж. А. Закрытые и открытые повреждения печени. М.: Медицина, 1977. 616 с.
11. Ярцев П. А. Видеолапароскопия в диагностике и лечении пострадавших с травмой живота: Автореф. дис. … д-ра мед. наук. М., 2008, 45 с.
12. Moore E. E., Cogbill T. H., Jurkovich M. D. et al. Organ injury scaling: spleen and liver (1994 revision) // J. Trauma. 1995. № 38 (3). P. 323-324.
13. Muller G., Little К. The basis and practice of traumatology. London: Heinemann Medical Books, 2001. Р. 33-39.
14. Rajani R. R., Claridge J. A., Yowler С J. et al. Improved outcome of adult blunt splenic injury: a cohort analysis // Surgery. 2006, № 4 (140). P. 625-631, discussion 631-632.
15. Reihner E., Brismar B. Management of splenic trauma - changing concepts // Eur. J. Emerg. Med. 1995. Vol. 2, № 1. P. 47-51.
Review
For citations:
Sigua B.V., Zemlyanoy V.P., Dyukov A.K. CLOSED ABDOMINAL INJURY WITH LIVER DAMAGE. Grekov's Bulletin of Surgery. 2015;174(1):9-15. (In Russ.) https://doi.org/10.24884/0042-4625-2015-174-1-9-15
Views:
748
Email this article 