[Video-assisted surgery in the diagnosis and treatment of thoracic and abdominal injuries]. / Endovideokhirurgiya pri povrezhdeniyakh grudi i zhivota.

AIM: to prove the efficacy and safety of video-assisted techniques in diagnosis and treatment of victims with thoracic and abdominal trauma. MATERIAL AND METHODS: It was analyzed treatment of 249 patients with thoracic (n=82), abdominal (n=122) and thoracoabdominal injuries (n=35) who were divided into 2 groups depending on treatment. Control group of conventional diagnosis and treatment included 130 (52%) patients. Group 2 consisted of 119 (48%) patients in whom differentiated surgical approach combined with current technologies was applied. RESULTS: Video-assisted techniques did not reveal thoracic (n=9) and abdominal (n=7) injuries in 16 out of 103 cases. There was conversion to open surgery in 20 patients. In group 2 conventional thoracic (n=15) and abdominal (n=22) interventions were made in 37 (36%) cases while endoscopic surgery was used in other 66 (64%) patients. Postoperative complications after endoscopy were observed in 8 patients. There were 2 deaths. CONCLUSION: Rational and effective use of video-assisted surgery for thoracic and abdominal trauma significantly improves outcomes in these severe patients.

[Intensive therapy and surgical tactics in terminal stage of appendicular peritonitis in children]. / Intensivnaia terapiia i khirurgicheskaia taktika pri terminal'noi faze appendikuliarnogo peritonita u detei.

Identification of the phase in the development of peritonitis is of great practical significance. Accounting the homeostatic shifts and their correction in the pre- and postoperative period in children with the terminal phase of peritonitis is greatly responsible for the outcome of the surgical intervention. Curative analgesia in the postoperative period decreases the development of complications.