Open AccessDIAGNOSIS OF CONJUGATED ABDOMINAL LESIONS IN PANCREATIC INJURY
Author(s) -
N. M. Нoncharova,
Сергій Миколайович Тесленко
Publication year - 2020
Publication title -
harkìvsʹka hìrurgìčna škola
Language(s) - English
Resource type - Journals
ISSN - 2308-7005
DOI - 10.37699/2308-7005.1.2020.10
Subject(s) - medicine , pathognomonic , abdominal trauma , laparotomy , abdominal cavity , pancreas , radiology , abdominal ultrasound , laparoscopy , surgery , blunt , pathology , disease
Summary. Resume. Traumatic injuries of the pancreas by the difficulty in diagnosis and choice of method of therapeutic tactics are some of the most difficult among traumatic lesions of the abdominal organs.
The goal of the work. Improvement of results of diagnostics of the combined damages of an abdominal cavity at a trauma of a pancreas
Materials and methods. The work is based on the analysis of the results of the examination and surgical treatment of 220 patients with combined damage of the abdominal organs with software trauma from 2000 to 2019.
Results and discussion. The features of the topographic-anatomical location of the pancreas more explain the absence of pathognomonic symptoms, the severity of the clinical picture in its trauma. Among 220 patients with combined trauma, 148 (67.3 %) patients were used for diagnostic abdominal ultrasound examination, 52 (23.6 %) ultrasound, and 20 (9.1 %) diagnostic laparoscopy.
Conclusions. Screening in patients with “futile” laparotomy has found that the diagnostic value of each method studied is far from optimal and does not allow confirming with confidence or canceling the presence of lesions of the abdominal organs requiring immediate surgery.