Multistage Surgical Treatment of Multisystem Closed Abdominal Trauma: Standardization of the Approach
https://doi.org/10.23934/2223-9022-2020-9-4-626-638
Abstract
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. 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.
About the Authors
S. S. Maskin
Department of Hospital Surgery, Volgograd State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Sergey S. Maskin Doctor of Medical Sciences, Professor, Head
1 Pavshikh Boytsov Sq., Volgograd 400131, Russian Federation
V. V. Aleksandrov
Department of Hospital Surgery, Volgograd State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Vasily V. Aleksandrov Candidate of Medical Sciences, Associate Professor
1 Pavshikh Boytsov Sq., Volgograd 400131, Russian Federation
V. V. Matyukhin
Department of Hospital Surgery, Volgograd State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Viktor V. Matyukhin Candidate of Medical Sciences, Associate Professor
1 Pavshikh Boytsov Sq., Volgograd 400131, Russian Federation
M. I. Parovatkin
Department of Hospital Surgery, Volgograd State Medical University of the Ministry of Health of the Russian Federation
Russian Federation
Russian Federation
Mikhail I. Parovatkin Candidate of Medical Sciences, Associate Professor
1 Pavshikh Boytsov Sq., Volgograd 400131, Russian Federation
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For citations:
Maskin S.S., Aleksandrov V.V., Matyukhin V.V., Parovatkin M.I. Multistage Surgical Treatment of Multisystem Closed Abdominal Trauma: Standardization of the Approach. Russian Sklifosovsky Journal "Emergency Medical Care". 2020;9(4):626-638. https://doi.org/10.23934/2223-9022-2020-9-4-626-638
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