[Differential surgical treatment of victims with damage to the small and large intestines in a closed abdominal injury combined, depending on the prediction of traumatic disease course and morphological changes of the intestinal wall].

Use of differentiated surgical approach to the management of surgical treatment, depending on the degree of violation of systemic hemodynamics, the timing and volume of surgical procedures, depending on the prognosis of traumatic disease course of cardiac index, interventions in the small and large intestine depending on morphological changes of the intestinal wall by cardiac and stroke indexes, put method extra-enteric anastomosis in patients with damage to the small intestine and colon combined with closed abdominal injury permitted to reduce the rate of postoperative complications from 22.2 to 10.1%, mortality at 2.1 times in shock period (from 19.3 to 9.2%) and the overall mortality from 33.3 to 21.1%.

[Prognosis of the traumatic disease course in injured persons with closed combined abdominal trauma as the main criterion for application of a staged surgical intervention tactics].

The method of estimation of the injury severity and the traumatic disease course prognostication was improved and introduced into practice, trying to optimize the choice of the treatment--diagnostic tactic in injured persons with closed combined abdominal trauma (CCAT). Application of the improved anatomic--functional model permits to estimate severity and to prognosticate the course of the traumatic disease in injured persons with CCAT with trustworthiness (81.7 +/- 4.7)% (P < 0.01). The point criteria of the prognosis gradation of the traumatic disease course were named as "favorable", "doubtful" and "unfavorable". In "unfavorable" prognosis the performance of a staged surgical treatment, according to the "damage control" method, is indicated.