nmpЖурнал им. Н.В. Склифосовского «Неотложная медицинская помощь»Russian Sklifosovsky Journal "Emergency Medical Care"2223-90222541-8017“N.V. Sklifosovsky Research Institute for Emergency Medicine”10.23934/2223-9022-2020-9-4-626-638nmp-1015Research ArticleОБЗОР ЛИТЕРАТУРЫREVIEWSМногоэтапноe хирургическое лечение сочетанной закрытой травмы живота: стандартизация подходаMultistage Surgical Treatment of Multisystem Closed Abdominal Trauma: Standardization of the Approachhttps://orcid.org/0000-0002-5275-4213МаскинС. С.MaskinS. S.

Маскин Сергей Сергеевич доктор медицинских наук, профессор, заведующий

Российская Федерация, 400131, Волгоград, площадь Павших Борцов, д. 1

Sergey S. Maskin Doctor of Medical Sciences, Professor, Head

1 Pavshikh Boytsov Sq., Volgograd 400131, Russian Federation

maskins@bk.ruhttps://orcid.org/0000-0001-8364-8934АлександровВ. В.AleksandrovV. V.

Александров Василий Владимирович, кандидат медицинских наук, доцент

Российская Федерация, 400131, Волгоград, площадь Павших Борцов, д. 1

Vasily V. Aleksandrov Candidate of Medical Sciences, Associate Professor

1 Pavshikh Boytsov Sq., Volgograd 400131, Russian Federation

79178304989@yandex.ruhttps://orcid.org/0000-0002-8195-6172МатюхинВ. В.MatyukhinV. V.

Матюхин Виктор Викторович кандидат медицинских наук, доцент

Российская Федерация, 400131, Волгоград, площадь Павших Борцов, д. 1

Viktor V. Matyukhin Candidate of Medical Sciences, Associate Professor

1 Pavshikh Boytsov Sq., Volgograd 400131, Russian Federation

victor.matyukhin@gmail.comhttps://orcid.org/0000-0001-7595-670XПароваткинМ. И.ParovatkinM. I.

Пароваткин Михаил Иванович кандидат медицинских наук, доцент

Российская Федерация, 400131, Волгоград, площадь Павших Борцов, д. 1

Mikhail I. Parovatkin Candidate of Medical Sciences, Associate Professor

1 Pavshikh Boytsov Sq., Volgograd 400131, Russian Federation

strelec1953@mail.ruКафедра госпитальной хирургии, ФГБОУ ВО «Волгоградский государственный медицинский университет» МЗ РФРоссияDepartment of Hospital Surgery, Volgograd State Medical University of the Ministry of Health of the Russian FederationRussian Federation20202101202194626638Copyright © Маскин С.С., Александров В.В., Матюхин В.В., Пароваткин М.И., 20212021Маскин С.С., Александров В.В., Матюхин В.В., Пароваткин М.И.Maskin S.S., Aleksandrov V.V., Matyukhin V.V., Parovatkin M.I.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.jnmp.ru/jour/article/view/1015Введение

Введение. Сочетанная закрытая абдоминальная травма сопровождается высокой летальностью, и превышение минимально необходимого объема операции в условиях крайне тяжелого состояния пациента часто приводит к неблагоприятному исходу.

Цель исследования

Цель исследования. Стандартизация поэтапного лечения пациентов с тяжелой сочетанной закрытой абдоминальной травмой.

Материал и методы

Материал и методы. В данном обзоре изложены новейшие сведения, полученные в результате изучения отечественной и зарубежной литературы, по вопросу многоэтапного хирургического лечения тяжелой сочетанной закрытой травмы живота. Пошагово описана концепция damage control, ее этапы, уточнены показания к видам оперативных вмешательств. Приведены литературные данные о результатах клинического применения методики с позиций доказательной медицины.

Заключение

Заключение. Четкое знание требуемого объема оперативного вмешательства на каждом этапе лечения пациентов с тяжелой сочетанной закрытой травмой живота, основных моментов интенсивной терапии, критериев стабилизации пациента и показаний для релапаротомии улучшают результаты лечения этой категории пострадавших.

Introduction

Introduction. 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

Aim of study. Standardization of staged treatment of patients with severe concomitant closed abdominal trauma.

Material and methods

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

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.

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The authors declare that there are no conflicts of interest present.