Multistage Surgical Treatment of Multisystem Closed Abdominal Trauma: Standardization of the Approach

Introduction. The multisystem closed abdominal trauma is accompanied by a high mortality rate, and exceeding the minimum required volume of surgery in an extremely difficult patient’s condition often leads to an unfavorable outcome.Aim of study. Standardization of staged treatment of patients with s...

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Main Authors: S. S. Maskin, V. V. Aleksandrov, V. V. Matyukhin, M. I. Parovatkin
Format: Article
Language:Russian
Published: Sklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare Department 2021-01-01
Series:Неотложная медицинская помощь
Subjects:
Online Access:https://www.jnmp.ru/jour/article/view/1015
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author S. S. Maskin
V. V. Aleksandrov
V. V. Matyukhin
M. I. Parovatkin
author_facet S. S. Maskin
V. V. Aleksandrov
V. V. Matyukhin
M. I. Parovatkin
author_sort S. S. Maskin
collection DOAJ
description Introduction. The multisystem closed abdominal trauma is accompanied by a high mortality rate, and exceeding the minimum required volume of surgery in an extremely difficult patient’s condition often leads to an unfavorable outcome.Aim of study. Standardization of staged treatment of patients with severe concomitant closed abdominal trauma.Material and methods. This review presents the latest information obtained as a result of studying domestic and foreign literature on the issue of multistage surgical treatment of severe multisystem closed abdominal trauma. The concept of damage control, its stages are described step by step, indications for types of surgical interventions are specified. The literature data on the results of clinical application of the technique from the standpoint of evidence-based medicine are presented.Conclusion. A clear knowledge of the required volume of surgical intervention at each stage of treatment of patients with severe concomitant closed abdominal trauma, the main points of intensive care, the criteria for patient stabilization and indications for relaparotomy improve the treatment results for this category of victims.
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spelling doaj.art-ec1fe3adce4d4fd4a4dfdef429141b4f2025-03-02T11:06:21ZrusSklifosovsky Research Institute for Emergency Medicine, Public Healthcare Institution of Moscow Healthcare DepartmentНеотложная медицинская помощь2223-90222541-80172021-01-019462663810.23934/2223-9022-2020-9-4-626-638639Multistage Surgical Treatment of Multisystem Closed Abdominal Trauma: Standardization of the ApproachS. S. Maskin0V. V. Aleksandrov1V. V. Matyukhin2M. I. Parovatkin3Department of Hospital Surgery, Volgograd State Medical University of the Ministry of Health of the Russian FederationDepartment of Hospital Surgery, Volgograd State Medical University of the Ministry of Health of the Russian FederationDepartment of Hospital Surgery, Volgograd State Medical University of the Ministry of Health of the Russian FederationDepartment of Hospital Surgery, Volgograd State Medical University of the Ministry of Health of the Russian FederationIntroduction. The multisystem closed abdominal trauma is accompanied by a high mortality rate, and exceeding the minimum required volume of surgery in an extremely difficult patient’s condition often leads to an unfavorable outcome.Aim of study. Standardization of staged treatment of patients with severe concomitant closed abdominal trauma.Material and methods. This review presents the latest information obtained as a result of studying domestic and foreign literature on the issue of multistage surgical treatment of severe multisystem closed abdominal trauma. The concept of damage control, its stages are described step by step, indications for types of surgical interventions are specified. The literature data on the results of clinical application of the technique from the standpoint of evidence-based medicine are presented.Conclusion. A clear knowledge of the required volume of surgical intervention at each stage of treatment of patients with severe concomitant closed abdominal trauma, the main points of intensive care, the criteria for patient stabilization and indications for relaparotomy improve the treatment results for this category of victims.https://www.jnmp.ru/jour/article/view/1015tactics of multistage treatmentclosed abdominal traumalaparostomytamponade of the parenchymal organendovascular hemostasis
spellingShingle S. S. Maskin
V. V. Aleksandrov
V. V. Matyukhin
M. I. Parovatkin
Multistage Surgical Treatment of Multisystem Closed Abdominal Trauma: Standardization of the Approach
Неотложная медицинская помощь
tactics of multistage treatment
closed abdominal trauma
laparostomy
tamponade of the parenchymal organ
endovascular hemostasis
title Multistage Surgical Treatment of Multisystem Closed Abdominal Trauma: Standardization of the Approach
title_full Multistage Surgical Treatment of Multisystem Closed Abdominal Trauma: Standardization of the Approach
title_fullStr Multistage Surgical Treatment of Multisystem Closed Abdominal Trauma: Standardization of the Approach
title_full_unstemmed Multistage Surgical Treatment of Multisystem Closed Abdominal Trauma: Standardization of the Approach
title_short Multistage Surgical Treatment of Multisystem Closed Abdominal Trauma: Standardization of the Approach
title_sort multistage surgical treatment of multisystem closed abdominal trauma standardization of the approach
topic tactics of multistage treatment
closed abdominal trauma
laparostomy
tamponade of the parenchymal organ
endovascular hemostasis
url https://www.jnmp.ru/jour/article/view/1015
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AT vvaleksandrov multistagesurgicaltreatmentofmultisystemclosedabdominaltraumastandardizationoftheapproach
AT vvmatyukhin multistagesurgicaltreatmentofmultisystemclosedabdominaltraumastandardizationoftheapproach
AT miparovatkin multistagesurgicaltreatmentofmultisystemclosedabdominaltraumastandardizationoftheapproach