The choice of tactics for treatment of the injured persons with vertebra-abdominal trauma due to traffic-transport accident

Keywords: injured persons; vertebro-abdominal trauma; the traffic accident; treatment

Abstract

Objective. To estimate the results of application of treatment-diagnostic tactics in the injured persons, suffering vertebro-abdominal trauma as a consequence of the traffic accident.

Маterials and methods. For achievement of the investigation aim 122 injured persons with vertebro-abdominal trauma due to traffic accident were analyzed. The injured persons were divided into two Groups: Group I - 53 patients, in whom the «early total care» was applied, and Group II (a control one) - 69 patients, to whom the treatment measures were conducted in accordance to the «damage control surgery» tactics.

Results. In the investigation there was established, that in the injured persons, suffering vertebro-abdominal trauma two tactics are affordable: «early total care», which is indicated in moderate internal hemorrhage, injuries of large omentum and intestinal mesentery, and «damage control surgery», which is indicated in presence of severe internal hemorrhage, hepatic, splenic and the retroperitoneal organs damages.

Conclusion. Application of the «damage control surgery» tactics in the injured persons, suffering vertebro-abdominal trauma has advantages, what is proved by the mortality reduction by 6.3% and the rate of the infection complications occurrence - by 3.5%.

Author Biographies

S. О. Guryev, Ukrainian Scientific-Practical Centre of Emergent Medical Help and Medicine of Disasters, Kyiv

Guriev Sergey O. - doctor of medical sciences, professor,
deputy director
Ukrainian Scientific and Practical Center of Emergency Medicine and Disaster Medicine
01000 Kiev, street Bratislava 3, 044 5185708,
gurevsergey1959@gmail.com,
https://orcid.org/0000-0002-8332-2915

P. V. Таnasiyenko, Ukrainian Scientific-Practical Centre of Emergent Medical Help and Medicine of Disasters, Kyiv

Tanasiienko Pavel V. - Doctor of Medical Sciences, Senior Researcher,
Leading Researcher, Ukrainian Scientific and Practical Center of Emergency Medical Care and Disaster Medicine
01000, Kyiv, vul. Bratislava 3,
044 5185708,
radix.vn@ukr.net,
https://orcid.org/0000-0002-3064-5200

S. Ya. Balyasevych, Military-Medical Centre of the State Border Service of Ukraine, Lviv

Balyasevich Sergiy Ya. - search engineer
Ukrainian Scientific and Practical Center of Emergency Medical Care and Disaster Medicine
01000 Kiev, street. Bratislava 3,
044 5185708,
ficus-doc@ukr.net,
https://orcid.org/0000-0003-0143-9907

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Published
2019-06-27
How to Cite
GuryevS. О., ТаnasiyenkoP. V., & Balyasevych, S. Y. (2019). The choice of tactics for treatment of the injured persons with vertebra-abdominal trauma due to traffic-transport accident. Klinicheskaia Khirurgiia, 86(6), 30-33. https://doi.org/10.26779/2522-1396.2019.06.30
Section
General Problems of Surgery