IMPROVEMENTS IN DIAGNOSTIC AND THERAPEUTIC CAPABILITIES OF VIDEOLAPAROSCOPY WITH CLOSED ABDOMINAL LESIONS
Keywords:
abdominal injury, early diagnosis, surgical tacticsAbstract
Worldwide according to numerous studies, abdominal injuries account for between 15.0% and 36.5% of peacetime injuries, but their frequency and severity continue to increase. In severe combined trauma, 30.0% of the victims have abdominal injuries. Such an injury, due to the severity of internal organ damage and difficulties in diagnosis, is characterized by a high complication rate and mortality, which, according to various authors, ranges from 25.0% to 65.0%. According to information, with isolated injury to one abdominal organ, mortality ranges from 5.1% to 20.4%, and with combined injury from 18.3% to 64.0%. A promising area for improving the results of treatment of parenchymal organ injuries is minimally invasive surgery (endovideosurgery), which is characterized by low trauma, a wide range of surgical techniques, and the ability to clearly visualize topographically complex areas. An increase in closed abdominal injuries requires optimization of diagnostic and treatment methods for these pathologies.
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