THE ROLE AND IMPORTANCE OF VIDEOLAPAROSCOPY IN CLOSED ABDOMINAL INJURIES
Keywords:
videolaparoscopy, laparotomy, early diagnosis, surgical treatment.Abstract
Scientific and technological progress has led to the emergence of a traumatic pandemic caused by urbanization and the growth of the automobile fleet. According to experts from the World Health Organization, "Mortality from mechanical injuries ranks third among all deaths and comes out on top among people who died under the age of 40, reaching 80% among adolescents and young men." The frequency of organ damage in closed abdominal trauma ranges from 12.0% to 46.9%, and in combined abdominal shock injuries up to 49.4%. Among closed abdominal injuries, spleen injury occurs in 17-30% of cases, and in 40.0% of cases with combined abdominal injury. A characteristic feature of recent decades is a change in the structure of injuries, an increase in the severity of injuries, mainly due to an increase in the proportion of combined and multiple injuries, the frequency of which reaches 55.0-80.0%. This category of injuries is characterized by high mortality and disability, respectively 50.0% and 74.0%. An increase in closed abdominal injuries requires optimization of diagnostic and treatment methods for these pathologies. In this regard, this problem remains relevant and in demand.
References
Рагимов Г. С., Новые гемостатические швы в хирургии паренхиматозных органов //Вестник новых мединциских технологий. – 2022 – XVIII,4 – С. 111-113.
Ротькин Е.А.,Агаларян А.Х., Агаджанян В.В. Особенности диагностики и лечения повреждений паренхиматозных органов живота при политравме. Политравма.№1.2023.С.29-38.
Сигуа Б.В., Земляной В.П., Дюков А.К. Закрытая травма живота с повреждением печени //Вестник Северо-Западного государственного медицинского университета им. И.И. Мечникова. 2014. Т. 6, № 3. С. 93-98.
Alimov AN. Organ-preserving method of surgical treatment of a ruptured spleen with a closed abdominal injury.Surgery. Magazine named after N.I. Pirogov. - 2013.(9), 39-43.(in Russ).
Ahmed K.S., Altaf H.T., Nandlal K., Role of laparoscopy in blunt perforations // Pak J Med Sci. – 2013;29(4):P.1028-1032..
Benjamin A.B; Ryan C.G. Focused assessment with sonography for trauma. Echocardiogr Intensivists. 2012;46:P.397–399.
Byung.H,N., Young H.M., et al. Laparoscopy-assisted versus open D2 distal gastrectomy for advanced gastric cancer: results from a randomized phase II multicenter clinical trial (COACT 1001) //Journal gastric cencer. – 2013. – Т. 267. – №. 4. – /P. 164-171.
Buchanan M.S., Backlund B., Liao M.M., et al. Use of Ultrasound Guidance for Central Venous Catheter Placement: Survey From the American Board of Emergency Medicine Longitudinal Study of Emergency Physicians. //Academic Emergency Medicine. – 2014. – Т. 21. – № 4. – P. 416–421.
Khripun AI. Organ-preserving method in surgical treatment of spleen injuries. Surgery. Magazine named after N.I. Pirogov. - 2014. (1), 34-38.(in Russ).
Umedov KA.Khaidarov NB. Khursanov YoE. Evaluation of the effectiveness of multi-stage surgical tactics in severe liver damage. Research focus international scientific journal.2023.2(1): 312-316.
Umedov XA. Tactics of convervative treatment of spleen injuries in closed injuries of the abdominal cavity. Theory and analytical aspects of recent research. 2023.13(9):40-46.
Maslyakov VV. Shapkin YuG. Chalyk YuV. Spleen injury: the main factors determining the possibility of performing organ-preserving operations. Endoscopic surgery. – 2021.17(1), 3-5.(in Russ).
Makhovsky VV. The state of the problem and ways to optimize organ-preserving tactics in spleen surgery. Vopr reconstruct and plast surgery. - 2014. - Vol. 17, No. 3 (50). 42-55.(in Russ).
