DIAGNOSTICS OF COMBINED ABDOMINAL INJURIES
Abstract
Aim. To improve the quality of diagnosis of combined abdominal injuries and to develop the most informative algorithm for the comprehensive instrumental study of patients. Material and methods. The work is based on a retrospective analysis of survey data of 167 patient with combined abdominal injuries for the period 2012-2018. Study group included 108 (64.7%) men and 59 (35.3%) women. The combination of abdominal injuries with a traumatic brain injury was observed in 34.7% cases. The diagnostic algorithm of the instrumental examination complex in the acute period of combined abdominal injuries was performed in the standard sequence: ultrasound, radiography, MSCT, and video laparoscopy. Results. 142 patients with combined abdominal injuries underwent MSCT. Liver damage in combined abdominal injuries was observed in 36 (21.8%) patients. Video laparoscopy that was performed in 11 (6.6%) cases was considered the last and most effective method of operation of injuries of the gastrointestinal tract and mesentery. Conclusion. Combined abdominal injuries due to the scarcity of anamnestic data, the limitation of clinical research methods and the necessity to determine the prevailing damage that determines the severity of the patient’s condition, make the process of diagnostics very complicated
About the Authors
F. I. Makhmadov
Avicenna Tajik State Medical University
Tajikistan
Tajikistan
N. O. Rakhimov
Avicenna Tajik State Medical University
Tajikistan
Tajikistan
M. V. Davlatov
Shifobaksh
Tajikistan
Tajikistan
S. T. Nasifov
Istiqol Health Complex
Tajikistan
Tajikistan
References
1. Абакумов М.М. Множественные и сочетанные ранения шеи, груди, живота. / М.М. Абакумов - М.: Бином-Пресс; 2013.
2. Березка Н.И. Оптимизация хирургической тактики лечения пострадавших с политравмой с использованием шкал оценки тяжести состояния и повреждений / Н.И. Березка, В.А. Литовченко, Е.В. Гарячий. // Научные ведомости Белгородского государственного университета. - 2014. - Т. 25, №4 (175). - С. 116-119.
3. Бойко И.В. Организация экстренной медицинской помощи пострадавшим с политравмой на этапах медицинской эвакуации / И.В. Бойко, В.Б. Зафт, Г.О. Лазаренко. // Медицина неотложных состояний. - 2013. - №2(49). - С. 77-84.
4. Левкин О.А. Алгоритм оказания экстренной медицинской помощи при политравме на догоспитальном этапе / О.А. Левкин, Б.М. Голдовский, К.В. Сериков // Медицина неотложных состояний. - 2014. - №4(59). - С. 108-110.
5. Таранов И.И. Хирургическое лечение пострадавших с минно-взрывными ранениями живота при террористических актах / И.И. Таранов, А.Х. Магамадов // Современные проблемы науки и образования. - 2015. - №2. - URL: www science-education.ru/129-21715.
6. Соваков И.А. Особенности клиники сочетанной черепно-мозговой травмы / И.А. Соваков, В.В. Щедренок, О.В. Могучая // Вестник хирургии им. И.И. Грекова. - 2008. - №4. - С 40-42.
7. Щедренок В.В., Доровских Г.Н., Могучая О.В. Клинико-лучевая диагностика изолированной и сочетанной черепно-мозговой травмы. / В.В. Щедренок, Г.Н. Доровских, О.В. Могучая - СПб.: РНХИ им. проф. А.Л. Поленова, 2012. - С. 448.
8. Amini A., Latifi R. Laparoscopic-assisted minithoracotomy for repair of diaphragmatic penetrating trauma. Surgical Laparoscopy Endoscopy and Percutaneous Techniques, 2013, Vol. 23, No. 4, pp. 406-409.
9. Mjoli M., Oosthuizen G., Clarke D., Madiba T. Laparoscopy in the diagnosis and repair of diaphragmatic injuries in leftsided penetrating thoracoabdominal trauma: laparoscopy in trauma. Surgical Endoscopy, 2015, Vol. 29, pp. 747-752.
10. Rivaben J. H., Junoir R.S., Neto V. D. Natural history of extensive diaphragmatic injury on the right side: experimental study in rats. Col. Bras. Cir, 2014, Vol. 41, No. 4, pp. 267-271.
11. Trejo-Avila M.E., Valenzuela-Salazar C., Betan-court-Ferreyra J. Laparoscopic Versus Open Surgery for Abdominal Trauma: A CaseMatched Study. Journal of Lapa-roendoscopic and Advanced Surgical Techniques, 2017, Vol. 27, No. 4, pp. 383-387.
12. Yucel M., Ozpek A., Tolan H.K., Ba§ak F., Ba§ G., Unal E., Alimoglu O. Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study. Ulusal travma ve acil cerrahi dergisi, 2017, Vol. 23, No. 2.
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For citations:
Makhmadov F.I., Rakhimov N.O., Davlatov M.V., Nasifov S.T. DIAGNOSTICS OF COMBINED ABDOMINAL INJURIES. Health care of Tajikistan. 2019;(2):44-51. (In Russ.)
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