Abstract:
A study of surgical treatment at the stages of medical evacuation of 83 wounded with a battle traumato the abdomen and damage to the large bowel, received during the anti-terrorist operation. The wounded patientswere divided into two groups: thecomparisongroup —42 patientswith a traditional surgical management, and the maingroup —41 patients withapriority surgical management, which depended on the severity of the condition, the severity of internal injuries and operational and tactical circumstances. At the second level of medical care, the surgical management and the extentof surgical interventions were determined: full, abbreviated or damage control surgery. At the III–IV levels of medical care, planned repeated operations “damage control surgery”, “second look”, as well as comprehensive treatment of the consequences and complications of gunshot wounds were performed.
Anew approach tothe choice of surgical management, as well as the standardization of the estentof surgical interventions have reduced the number of postoperative abdominal complications by 27% and mortalityrate—by 16.4%.
