ABSTRACT
The results of treatment of the injured persons, suffering splenic injury, in closed com- bined abdominal trauma, depending on its severity and the splenic injury degree, are presented.
Subject(s)
Abdomen/surgery , Abdominal Injuries/surgery , Multiple Trauma/surgery , Spleen/surgery , Wounds, Nonpenetrating/surgery , Abdomen/pathology , Abdominal Injuries/diagnosis , Abdominal Injuries/mortality , Abdominal Injuries/pathology , Adult , Female , Humans , Injury Severity Score , Male , Multiple Trauma/diagnosis , Multiple Trauma/mortality , Multiple Trauma/pathology , Spleen/injuries , Spleen/pathology , Survival Analysis , Treatment Outcome , Wounds, Nonpenetrating/diagnosis , Wounds, Nonpenetrating/mortality , Wounds, Nonpenetrating/pathologyABSTRACT
The results of surgical treatment of 281 injured persons for combined cranio-abdominal trauma in acute period of traumatic disease, were analyzed. Depending on the trauma and internal organs injuries severity, there were applied: conservative therapy, mini-invasive interventions, laparotomy for abdominal element of the trauma, also there were determined the operation volume (complete, reduced, minimal) and expediency of the "damage control" tactics application. It made possible to perform conservative therapy in the main group in 12.6% injured persons, laparoscopic operations--in 35%, and to reduce laparotomy operations duration trustworthy. Indications for craniotomy in acute period of trauma were established in 9 injured persons of a control group and in 15--of the main group. While indications for craniotomy and laparotomy presence, the operation on abdominal organs was performed primarily or both interventions were done simultaneously with minimal or reduced volume.