Endovideosurgical methods in treatment of multiple trauma
DOI:
https://doi.org/10.11603/2414-4533.2017.3.8120Keywords:
videolaparoscopy, videothoracoscopy, multiple trauma, cranioabdominal injury, craniothoracic injury.Abstract
The aim of the work: to evaluate treatment effectiveness as well applicability of videoendoscopic interventions in case of abdominal either chest trauma combined with brain injuries.
Materials and Methods. Patients with combined trauma were divided into 4 subgroups: Іa (n = 31) and ІІb (n = 40) – patients, who were managed by endoscopic approaches: laparoscopy either videothoracoscopy. Іa (n = 43) and ІІb (n = 39) subgroups included injured, who were treated with conventional approach.
Results and Discussion. In patients of Іа subgroup consciousness was recovered faster with 14.1±0.5 points of Glasgow Coma Scale on postoperative day 7, in comparison with 12.9±0.8 points of Іb subgroup casualties, corresponding picture was observed at the same period among wounded of ІІа subgroup (13.8±0.3 points) in comparison with ІIb subgroup patients (12.4±0.9 points). In Іа subgroup traumatic disease had more favourable course, and was featured by lower indexes of common state severety according to MODS, starting from postoperative day 3, when this index accounted for 3.08±0.75 points, comparing with the corresponding index of Іb subgroup injured, which was equal to 4.38±1.26 points. Similar figure was mentioned among wounded of ІІа subgroup 0.98±0.25 points, in equivalence with analogous index among injured of ІІb subgroup which was equal to 2.78±0.54 points. Usage of videoendoscopic approaches permitted to improve treatment results as well as to plunge the number of complications, at the same time not affecting negatively the development of pathologic process in patients with mild and moderate brain trauma.
References
Boyko, I.V, Zаft, V.B., & Lazarenko, G.O. (2013). Organizatsiya ekstrennoy meditsinskoy pomoshchi postradavshim s politravmoy na etapakh meditsinskoy evakuatsii [Organization of emergency care for the wounded with multiple trauma medical evacuation stages]. Meditsina neotlozhnykh sostoyaniy – Emergency Medicine, 2 (49), 77-84 [Russian].
Grubnik, Yu.V., Plotnikov, A.V., & Fomenko, V.A. (2014). Pokazaniya i effektivnost ispolzovaniya maloinvazivnykh operatsiy u bolnykh s zakrytoy travmoy organov bryushnoy polosti [Indications and effectiveness of less-invasive interventions usage in patients with blunt abdominal trauma]. Kharkivska khirurhichna shkola – Kharkiv Surgical School, (2), 100-106 [in Russian].
Zarutskyi, Ya.L., Trutiak, I.R. & Rybachuk, V.I. (2011). Rol i mistse laparoskoptsii v diahnostytsi i likuvanni zakrytoi poiednanoi abdominalnoi travmy [Role and place of laparoscopy in blunt abdominal trauma diagnostics and treatment]. Khirurhiia Ukrainy – Surgery of Ukraine, (2), 36-39 [in Ukrainian].
Namazbekov, M.N., Moldotashova, A.K., & Bayzakov, U.B. (2012). Epidemiologicheskie, diagnosticheskie i lechebnye aspekty sochetannoy travmy [Epidemiologic, diagnostic and treatment aspects of multiple trauma]. Vestnik KRSU – Journal of KRSU, 12 (2), 122-124 [in Russian].
Poltoratskiy, V.G. (2015). Osobennosti travmatizma pri sochetannoy cherepno-mozgovoy travme [Trauma particularities in case of combined brain injury]. Scientific Journal “Scince Rise”, (3/4), 57-60 [in Russian].
Lashoher, А., Schneider, E.B. & Juillard, С. (2016): Implementation of the World Health Organization Trauma Care Checklist Program in 11 centers across multiple economic strata: effect on care process measures. World J. Surg., 28-41.
Schreiber, J. (2014). Rescue bedside laparotomy in the intensive care unit in patients too unstable for transport to the operating room. Critical Care, 18 (3), 123.
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