METHODOLOGICAL ASPECTS OF SURGICAL APPROACH IN VICTIMS WITH SEVERE MULTIPLE CRANIOFACIAL TRAUMA IN CONSIDERATION OF SEVERITY OF TRAUMATIC INJURY
It is important to improve the medical care system and treatment of victims, introduce new methods of treatment and attract the multidisciplinary specialists in the cases of multitrauma. An integrated approach is required for the identification of different character and severity of multiple craniof...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | Russian |
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Pavlov First Saint Petersburg State Medical University
2018-01-01
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| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/529 |
| _version_ | 1797877682187272192 |
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| author | Yu. A. Shcherbuk D. Yu. Madai S. V. Gavrilin A. Yu. Shcherbuk K. A. Absava O. D. Madai |
| author_facet | Yu. A. Shcherbuk D. Yu. Madai S. V. Gavrilin A. Yu. Shcherbuk K. A. Absava O. D. Madai |
| author_sort | Yu. A. Shcherbuk |
| collection | DOAJ |
| description | It is important to improve the medical care system and treatment of victims, introduce new methods of treatment and attract the multidisciplinary specialists in the cases of multitrauma. An integrated approach is required for the identification of different character and severity of multiple craniofacial injuries and the development of rational surgical strategy on this base. Different scales such as AIS, CRIS, ISS, PTS, TRISS, TRISSCAN, CRAMS et.al. were created abroad. Another approach to medical strategy was developed in the department of military surgery of Kirov Military Academy in the late nineties. It was based on investigating of possibilities of surgical strategy optimization by application of objective evaluation of the severity of injuries (military surgery - SP, SG, SS). Given treatment strategy of victims with multiple craniofacial trauma resulted in double reduction of quantity of suppurative and septic complications (from 10,5% to 4,1%). It gave the possibility to reduce the lethality from 6,4% to 4,0%. At the same time a hospital stay was shortened and the strategy allowed obtaining satisfactory functional results of treatment and avoiding reinterventions for removal of posttraumatic facial deformations. |
| first_indexed | 2024-04-10T02:22:09Z |
| format | Article |
| id | doaj.art-cad2a5c38cc048ac9df8eb0e54e9a03c |
| institution | Directory Open Access Journal |
| issn | 0042-4625 |
| language | Russian |
| last_indexed | 2024-04-10T02:22:09Z |
| publishDate | 2018-01-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj.art-cad2a5c38cc048ac9df8eb0e54e9a03c2023-03-13T08:09:13ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252018-01-011733495410.24884/0042-4625-2014-173-3-49-54528METHODOLOGICAL ASPECTS OF SURGICAL APPROACH IN VICTIMS WITH SEVERE MULTIPLE CRANIOFACIAL TRAUMA IN CONSIDERATION OF SEVERITY OF TRAUMATIC INJURYYu. A. Shcherbuk0D. Yu. Madai1S. V. Gavrilin2A. Yu. Shcherbuk3K. A. Absava4O. D. Madai5Saint-Petersburg State UniversitySaint-Petersburg State UniversitySaint-Petersburg State UniversitySaint-Petersburg State UniversitySaint-Petersburg State UniversitySaint-Petersburg State UniversityIt is important to improve the medical care system and treatment of victims, introduce new methods of treatment and attract the multidisciplinary specialists in the cases of multitrauma. An integrated approach is required for the identification of different character and severity of multiple craniofacial injuries and the development of rational surgical strategy on this base. Different scales such as AIS, CRIS, ISS, PTS, TRISS, TRISSCAN, CRAMS et.al. were created abroad. Another approach to medical strategy was developed in the department of military surgery of Kirov Military Academy in the late nineties. It was based on investigating of possibilities of surgical strategy optimization by application of objective evaluation of the severity of injuries (military surgery - SP, SG, SS). Given treatment strategy of victims with multiple craniofacial trauma resulted in double reduction of quantity of suppurative and septic complications (from 10,5% to 4,1%). It gave the possibility to reduce the lethality from 6,4% to 4,0%. At the same time a hospital stay was shortened and the strategy allowed obtaining satisfactory functional results of treatment and avoiding reinterventions for removal of posttraumatic facial deformations.https://www.vestnik-grekova.ru/jour/article/view/529политравматяжесть состояниятяжесть повреждениякомпенсацияmultitraumacondition severitytrauma severitycompensation |
| spellingShingle | Yu. A. Shcherbuk D. Yu. Madai S. V. Gavrilin A. Yu. Shcherbuk K. A. Absava O. D. Madai METHODOLOGICAL ASPECTS OF SURGICAL APPROACH IN VICTIMS WITH SEVERE MULTIPLE CRANIOFACIAL TRAUMA IN CONSIDERATION OF SEVERITY OF TRAUMATIC INJURY Вестник хирургии имени И.И. Грекова политравма тяжесть состояния тяжесть повреждения компенсация multitrauma condition severity trauma severity compensation |
| title | METHODOLOGICAL ASPECTS OF SURGICAL APPROACH IN VICTIMS WITH SEVERE MULTIPLE CRANIOFACIAL TRAUMA IN CONSIDERATION OF SEVERITY OF TRAUMATIC INJURY |
| title_full | METHODOLOGICAL ASPECTS OF SURGICAL APPROACH IN VICTIMS WITH SEVERE MULTIPLE CRANIOFACIAL TRAUMA IN CONSIDERATION OF SEVERITY OF TRAUMATIC INJURY |
| title_fullStr | METHODOLOGICAL ASPECTS OF SURGICAL APPROACH IN VICTIMS WITH SEVERE MULTIPLE CRANIOFACIAL TRAUMA IN CONSIDERATION OF SEVERITY OF TRAUMATIC INJURY |
| title_full_unstemmed | METHODOLOGICAL ASPECTS OF SURGICAL APPROACH IN VICTIMS WITH SEVERE MULTIPLE CRANIOFACIAL TRAUMA IN CONSIDERATION OF SEVERITY OF TRAUMATIC INJURY |
| title_short | METHODOLOGICAL ASPECTS OF SURGICAL APPROACH IN VICTIMS WITH SEVERE MULTIPLE CRANIOFACIAL TRAUMA IN CONSIDERATION OF SEVERITY OF TRAUMATIC INJURY |
| title_sort | methodological aspects of surgical approach in victims with severe multiple craniofacial trauma in consideration of severity of traumatic injury |
| topic | политравма тяжесть состояния тяжесть повреждения компенсация multitrauma condition severity trauma severity compensation |
| url | https://www.vestnik-grekova.ru/jour/article/view/529 |
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