Open AccessSurgical tactics for closed injuries intestines
Author(s) -
D. М. Krasilnikov,
I. M. Fatkhutdinov,
Ramazan Shaikhutdinov
Publication year - 2022
Publication title -
kazanskij medicinskij žurnal
Language(s) - English
Resource type - Journals
eISSN - 2587-9359
pISSN - 0368-4814
DOI - 10.17816/kazmj96341
Subject(s) - duodenum , medicine , decompression , surgery , abdominal cavity , fibrous joint , small intestine
The results of surgical treatment of 64 patients with closed intestine injuries: duodenum traumas (17), small intestine traumas (39) and closed large intestine traumas (8) are presented. During operative interventions in patients with duodenum injuries after the defect suture it is obligatory to carry out the prolonged nasoduodenal intubation and decompression, wide drainage of the retroperitoneal space, abdominal cavity. In the cases of injuring more than 1 /3 of the circumference it is necessary to form duodenojejunoanastomosis or to take duodenum out of the passage. In large intestine injuries the operative intervention is carried out in two stages.