RATIONAL APPROACHES TO THE DIAGNOSIS OF INJURIES AND ABDOMINAL TRAUMA IN THE LIMITED HEALTH CARE SETTINGS
https://doi.org/10.25016/2541-7487-2013-0-1-24-27
Abstract
Based on a study of 166 medical records, the analysis of the diagnostic efficiency of the clinical, laboratory, instrumental and operational methods of diagnosis of internal injuries in abdominal trauma was performed in patients admitted to the Naval Hospital (Vladivostok) in 2000–2010. A rational (rationalis – reasonable) approach to damage diagnostics using "direct" laparoscopy is proposed when general anesthesia and other instrumental methods of examination are not available.
About the Author
A. K. Soroka
Naval Clinical Hospital of the Pacific Fleet, Vladivostok
Russian Federation
Russian Federation
References
1. Abdullaev E.G., Babyshin V.V., Khodos G.V. Videolaparoskopiya v diagnostike i lechenii povrezhdenii zhivota [Videolaparoscopy in the diagnosis and treatment of injuries of the abdomen]. Endoskopicheskaya khirurgiya [Endoscopic surgery]. 2007. P 1. Pp. 6. (In Russ.)
2. Gnatyuk B.M., Surovikin D.M. Punktsionnaya diagnostika zakrytoi travmy zhivota [Puncture diagnosis closed abdominal trauma]. Aktual'nye voprosy sovershenstvovaniya diagnostiki i lecheniya [Topical issues of improving diagnosis and treatment]. Leningrad. 1987. Vol. 2. Pp. 43–45. (In Russ.)
3. Gumanenko E.K. Aktual'nye problemy khirurgii povrezhdenii [Actual problems of damage surgery]. Khirurgiya povrezhdenii mirnogo i voennogo vremeni: materialy simpoziuma [Damage surgery in peacetime and wartime: proceedings of the symposium]. Moskva. 2001. Pp. 19–21. (In Russ.)
4. Molitvoslovov A.B. [et al.]. Diagnostika povrezhdenii zhivota pri sochetannoi travme [Diagnosis of abdominal injuries with associated trauma]. Khirurgiya. Zhurnal im. N.I. Pirogova. [Surgery. Zhurnal imeni N.I. Pirogova]. 2002. N 9. Pp. 22–26. (In Russ.)
5. Alimov A.N. [et al.]. Optimizatsiya khirurgicheskoi taktiki i perspektivy endokhirurgii v lechenii sochetannoi i izolirovannoi travmy zhivota [Optimization of surgical tactics and endosurgery prospects in treatment of combined and isolated abdominal trauma]. Endoskopicheskaya khirurgiya [Endoscopic surgery]. 2005. N 1. Pp. 171–172. (In Russ.)
6. Sitnikov V.N. [et al.]. Primenenie videolaparoskopii v diagnostike i lechenii koloto-rezanykh ran perednei bryushnoi stenki [Videolaparoscopy application in the diagnosis and treatment of stab wounds of the anterior abdominal wall]. Endoskopicheskaya khirurgiya [Endoscopic surgery]. 2005. N 1. Pp. 138–139. (In Russ.)
7. Gumanenko E.K. [et al.]. Problemy dogospital'noi pomoshchi pri tyazheloi sochetannoi travme [Problems of prehospital care in severe concomitant injury]. Vestnik khirurgii imeni I.I. Grekova [Surgery Herald named after I.I. Grekov]. 2003. Vol. 162, N 4. Pp. 43–48. (In Russ.)
8. Rozanov V.E., Snegur A.V., Slavinskaya O.M. Diagnosticheskaya i lechebnaya videolaparoskopiya pri zakrytoi travme organov bryushnoi polosti [Diagnostic and therapeutic videolaparoscopy in the closed trauma of the abdominal cavity]. Endoskopicheskaya khirurgiya [Endoscopic surgery]. 2005. N 1. Pp. 115. (In Russ.)
9. Skorodumov A.V., Shirokov D.M. Ul'trazvukovaya diagnostika zakrytoi sochetannoi abdominal'noi travmy, soprovozhdayushcheisya shokom [Ultrasound diagnosis of abdominal trauma combined closed accompanied shock]. Sochetannaya i mnozhestvennaya mekhanicheskaya travma (klinika, diagnostika i lechenie): sbornik nauchnykh trudov [Combined and multiple mechanical trauma (symptoms, diagnosis and treatment): collection of scientific papers]. Sankt-Peterburg. 1997. Pp. 94–100. (In Russ.)
10. Tsybulyak G.N., Sheyanov S.D. Raneniya i travmy zhivota: sovremennaya diagnostika i novye podkhody v lechenii [Injury and abdominal trauma: modern diagnosis and new treatment approaches]. Vestnik khirurgii imeni I.I. Grekova [Surgery Herald named after I.I. Grekov]. 2001. Vol. 160, N 5. Pp. 81–88. (In Russ.)
11. Boyarintsev V.V., Suvorov V.V., Markevich V.Yu. [et al.]. Endovideokhirurgiya v voenno-polevoi khirurgii [Endovideosurgery in field military surgery]. Voenno-meditsinskii zhurnal [Military medical journal]. 2006. N 9. Pp. 45–52. (In Russ.)
12. Sementsov V.K. [et al.]. Endoskopicheskaya khirurgiya v diagnostike i lechenii sochetannoi travmy grudi i zhivota [Endoscopic surgery in the diagnosis and treatment of concomitant injuries to the chest and abdomen]. Tikhookeanskii meditsinskii zhurnal [Pacific Medical Journa]. 2006. N 1. Pp. 95–96. (In Russ.)
13. Livingston D.H., Tortella B.J., Blackwood J. The role of laparoscopy in abdominal trauma. J. Trauma. 2002. Vol. 33, N 3. Pp. 471–475.
14. Marks J.M., Youngelman D.F., Berk T. Cost analysis of diagnostic laparoscopy vs laparotomy in the evaluation of penetrating abdominal trauma. Surg. Endosc. 1997. Vol. 11, N 3. Pp. 272–276.
15. Leppaniemi A. [et al.]. The role of laparoscopy in blund abdominal trauma. Ann. of Med. 1996. N 6. Pp. 483–489.
Review
For citations:
Soroka A.K. RATIONAL APPROACHES TO THE DIAGNOSIS OF INJURIES AND ABDOMINAL TRAUMA IN THE LIMITED HEALTH CARE SETTINGS. Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations. 2013;(1):24-27. (In Russ.) https://doi.org/10.25016/2541-7487-2013-0-1-24-27
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