Application of “damage control” tactics in surgical treatment of patients with heavy abdominal trauma

Authors

  • V. P. Polyovy Bukovinian State Medical University
  • S. I. Railyanu Bukovinian State Medical University
  • A. S. Polyanitsa Bukovinian State Medical University
  • I. G. Chepega Bukovinian State Medical University

DOI:

https://doi.org/10.11603/2414-4533.2020.3.11463

Keywords:

severe combined abdominal trauma, damage control tactics

Abstract

The aim of the work: to substantiate the feasibility of using “damage control” tactics in the surgical treatment of victims with severe combined abdominal trauma.

 Materials and Methods.  The results of treatment of 28 victims with severe combined injuries of abdominal organs were analyzed.  The average age of the patients was 39 years (18–66 years), the average grade of severity of injury on the ISS scale was 23 points.  Of the 28 victims, 19 patients suffered liver injuries, including 6 with combined lesions, 13 with isolated ones; 9 – with severe combined damage to the hollow organs and mesenteric structures.  All patients were in a state of shock.  There were 22 people with severity IV on the ISS scale, with degree V – 8. The average blood loss was on average 1200 ml (from 1000 to 2700 ml).  Given the severe condition of the victims, which worsened during surgery, a multi-stage “damage control” tactic was applied to them.

 Results and Discussion.  Complete surgical treatment in 28 patients of the main group with severe abdominal trauma and pre-planned "step-by-step" tactics taking into account the severity of the condition of the victim, the volume and severity of damage to the abdominal organs, with the presence of persistent coaguloputopomy  the results of advanced damage control tactics.  In the control group, the mortality rate among patients who underwent primary surgery in full was 48 %, in the main group 27 %, which is an important argument for the continued use of the proposed tactics in the practice of surgical hospitals.

References

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Published

2020-10-23

How to Cite

Polyovy, V. P., Railyanu, S. I., Polyanitsa, A. S., & Chepega, I. G. (2020). Application of “damage control” tactics in surgical treatment of patients with heavy abdominal trauma. Hospital Surgery. Journal Named by L.Ya. Kovalchuk, (3), 63–69. https://doi.org/10.11603/2414-4533.2020.3.11463

Issue

No. 3 (2020)

Section

EXPERIENCE OF WORK

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