[Diagnostic difficulties in a patient with a combined gunshot injury involving non-penetrating abdominal wound and injury of superficial femoral artery]. / Sochetannaya ognestrel'naya travma bedrennoi arterii i nepronikayushchego raneniya zhivota.

Non-penetrating gunshot abdominal wounds are rare in peacetime and mainly caused by firearm traumatic weapons. The main therapeutic measure in this case is primary surgical debridement with adequate drainage. At the same time, such injuries may be accompanied by damage to internal organs. Timely diagnosis of these lesions may be difficult, and surgical treatment may be necessary. We report a patient with combined gunshot injury, damage to superficial femoral artery and non-penetrating abdominal wound followed by contusion and necrosis of small bowel. When providing medical care in patients with non-penetrating gunshot abdominal wounds, one should remember possible damage to internal organs due to high kinetic energy of the wounding projectile resulting contusion-induced necrosis.

[Advantages of laparoscopic technologies for blunt abdominal trauma: a systematic review and meta-analysis]. / Preimushchestva laparoskopicheskikh tekhnologii pri zakrytoi travme zhivota (sistematicheskii obzor i metaanaliz).

OBJECTIVE: To analyze the effectiveness of laparotomy and laparoscopy in the treatment of patients with blunt abdominal trauma. MATERIAL AND METHODS: Literature searching was conducted in accordance with the recommendations «Preferred Reporting Items for Systematic Reviews and Meta-Analyses¼ between January 2015 and August 2021. We used the electronic databases PubMed, Cochrane Library, Scopus, eLibrary. RESULTS: Laparoscopy reduces hospital-stay, postoperative morbidity and mortality in hemodynamically stable patients with blunt abdominal trauma compared to laparotomy. CONCLUSION: Further systematic reviews and meta-analyses of randomized controlled trials are required to obtain high quality data.