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Klin Khir ; (8): 9-12, 2013 Aug.
Article in Ukrainian | MEDLINE | ID: mdl-24171280

ABSTRACT

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%.


Subject(s)
Abdominal Injuries/surgery , Digestive System Surgical Procedures/methods , Intestine, Large/surgery , Intestine, Small/surgery , Abdominal Injuries/mortality , Abdominal Injuries/pathology , Abdominal Wall/pathology , Digestive System Surgical Procedures/mortality , Heart/physiopathology , Humans , Intestine, Large/injuries , Intestine, Small/injuries , Postoperative Complications/prevention & control , Prognosis , Severity of Illness Index , Shock, Traumatic/mortality , Shock, Traumatic/prevention & control , Stroke Volume , Survival Analysis , Time Factors
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