Open AccessMultistage Surgical Treatment of Multisystem Closed Abdominal Trauma: Standardization of the Approach
Author(s) -
С. С. Маскин,
В. В. Александров,
В. В. Матюхин,
М. И. Пароваткин
Publication year - 2021
Publication title -
neotložnaâ medicinskaâ pomoŝʹ
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.141
H-Index - 3
eISSN - 2541-8017
pISSN - 2223-9022
DOI - 10.23934/2223-9022-2020-9-4-626-638
Subject(s) - medicine , concomitant , abdominal trauma , standardization , severe trauma , surgery , damage control surgery , psychological intervention , intervention (counseling) , intensive care medicine , resuscitation , psychiatry , political science , law , blunt
. The multisystem closed abdominal trauma is accompanied by a high mortality rate, and exceeding the minimum required volume of surgery in an extremely difficult patient’s condition often leads to an unfavorable outcome. Aim of study. Standardization of staged treatment of patients with severe concomitant closed abdominal trauma. Material and methods. This review presents the latest information obtained as a result of studying domestic and foreign literature on the issue of multistage surgical treatment of severe multisystem closed abdominal trauma. The concept of damage control, its stages are described step by step, indications for types of surgical interventions are specified. The literature data on the results of clinical application of the technique from the standpoint of evidence-based medicine are presented. Conclusion. A clear knowledge of the required volume of surgical intervention at each stage of treatment of patients with severe concomitant closed abdominal trauma, the main points of intensive care, the criteria for patient stabilization and indications for relaparotomy improve the treatment results for this category of victims.