METHOD FOR TREATMENT TACTICS SELECTION FOR PATIENTS WITH ABDOMINAL INCISION WOUNDS

摘要

FIELD: medicine.;SUBSTANCE: following parameters are determined: time from the moment of injury; hemodynamic parameters; peritoneal symptoms; presence of internal organs eventration; presence of concomitant brain or spinal injuries; presence of free gas in review R-graphy of abdominal organs; rate of free fluid rise in the abdominal cavity; signs of injury to the internal hollow organs or continued bleeding on the abdomen CT. In accordance with the presence or absence of these indicators points are awarded. Then, depending on the aggregate identified changes indicators of their presence or absence, a decision is made on absence of indications for emergency surgery and need for active supervision, or on laparoscopy or laparotomy performance necessity.;EFFECT: method allows to optimize the choice of treatment taking into account individual changes in a diagnostically significant set of indicators; to reduce the number of unjustified surgical interventions in patients with incision wounds of the abdomen; to reduce the length of stay in the hospital by reducing the number of postoperative complications and shortening the terms of rehabilitation.;1 tbl, 2 ex