SURGICAL TREATMENT OF ABDOMINAL INJURIES WITH COMBINED TRAUMA AND POLYTRAUMA: A COMPARATIVE ANALYSIS OF THE STRUCTURE AND COMPONENTS OF THE ABDOMINAL INTERVENTION PHASE (MESSAGE TWO)
Introduction. Blunt abdominal trauma is recognized as one of the leading causes of preventable death among people of working age. In Ukraine, the system of anatomical and functional prediction of the course of trauma, which determines the time, volume, and sequence of surgical interventions for each...
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State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department
2025-05-01
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| Series: | Клінічна та профілактична медицина |
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| Online Access: | https://cp-medical.com/index.php/journal/article/view/598 |
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| author | Serhii I. Panasenko Serhii O. Guriev Volodymyr V. Nehoduiko Nizar R. Kerbazh |
| author_facet | Serhii I. Panasenko Serhii O. Guriev Volodymyr V. Nehoduiko Nizar R. Kerbazh |
| author_sort | Serhii I. Panasenko |
| collection | DOAJ |
| description | Introduction. Blunt abdominal trauma is recognized as one of the leading causes of preventable death among people of working age. In Ukraine, the system of anatomical and functional prediction of the course of trauma, which determines the time, volume, and sequence of surgical interventions for each specific casualty, is considered to be the most advanced technology for the treatment of polytrauma in general, and particularly of combined thoracoabdominal trauma.
Aim. To research treatment tactics in patients with combined thoracoabdominal trauma through a retrospective expert analysis of the content of abdominal surgery for treatment of abdominal injuries.
Materials and methods. Through a retrospective expert analysis of the operative techniques used to address abdominal injuries in 2009 patients with combined thoracoabdominal trauma, we identified 21 key components of the abdominal intervention. These techniques were applied in 306 (15.2%) abdominal surgeries, which ranged from exploratory laparotomies to various resection procedures.
Results. It was found that 72 (23.5%) of the laparotomies were performed on an exploratory basis. No instances of nonoperative management of solid organs injuries or damage control procedures were observed. A comparative analysis of the distribution of surgical components between patients with combined thoracoabdominal trauma and those with polytrauma revealed a high level of consistency, with a statistically significant difference (p < 0.01).
Conclusions. Thus, within the broader clinical context, the system of anatomical and functional prediction played a crucial role in determining the approach for treating abdominal injuries in patients with polytrauma. The optimization of surgical management for abdominal injuries in combined thoracoabdominal trauma hinges on avoiding exploratory laparotomies and incorporating surgical strategies outlined in the concepts of nonoperative management of solid organ injuries and damage control surgery. |
| format | Article |
| id | doaj-art-9eafcdbba2d4423e8c3544200ac6f301 |
| institution | Kabale University |
| issn | 2616-4868 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | State Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative Department |
| record_format | Article |
| series | Клінічна та профілактична медицина |
| spelling | doaj-art-9eafcdbba2d4423e8c3544200ac6f3012025-08-20T03:34:33ZengState Institution of Science «Research and Practical Center of Preventive and Clinical Medicine» State Administrative DepartmentКлінічна та профілактична медицина2616-48682025-05-015545810.31612/2616-4868.5.2025.07598SURGICAL TREATMENT OF ABDOMINAL INJURIES WITH COMBINED TRAUMA AND POLYTRAUMA: A COMPARATIVE ANALYSIS OF THE STRUCTURE AND COMPONENTS OF THE ABDOMINAL INTERVENTION PHASE (MESSAGE TWO)Serhii I. Panasenko0Serhii O. Guriev1Volodymyr V. Nehoduiko2Nizar R. Kerbazh3Poltava State Medical University, Poltava, Ukraine; State Institution "Ukrainian Scientific and Practical Center for Emergency Medical Care and Disaster Medicine of the Ministry of Health of Ukraine", Kyiv, Ukraine; Military Medical Clinical Center of the Northern Region of the Command of the Medical Forces of the Armed Forces of Ukraine, Kharkiv, UkraineState Institution "Ukrainian Scientific and Practical Center for Emergency Medical Care and Disaster Medicine of the Ministry of Health of Ukraine", Kyiv, UkraineMilitary Medical Clinical Center of the Northern Region of the Command of the Medical Forces of the Armed Forces of Ukraine, Kharkiv, Ukraine; Kharkiv National Medical University, Kharkiv, UkrainePoltava State Medical University, Poltava, UkraineIntroduction. Blunt abdominal trauma is recognized as one of the leading causes of preventable death among people of working age. In Ukraine, the system of anatomical and functional prediction of the course of trauma, which determines the time, volume, and sequence of surgical interventions for each specific casualty, is considered to be the most advanced technology for the treatment of polytrauma in general, and particularly of combined thoracoabdominal trauma. Aim. To research treatment tactics in patients with combined thoracoabdominal trauma through a retrospective expert analysis of the content of abdominal surgery for treatment of abdominal injuries. Materials and methods. Through a retrospective expert analysis of the operative techniques used to address abdominal injuries in 2009 patients with combined thoracoabdominal trauma, we identified 21 key components of the abdominal intervention. These techniques were applied in 306 (15.2%) abdominal surgeries, which ranged from exploratory laparotomies to various resection procedures. Results. It was found that 72 (23.5%) of the laparotomies were performed on an exploratory basis. No instances of nonoperative management of solid organs injuries or damage control procedures were observed. A comparative analysis of the distribution of surgical components between patients with combined thoracoabdominal trauma and those with polytrauma revealed a high level of consistency, with a statistically significant difference (p < 0.01). Conclusions. Thus, within the broader clinical context, the system of anatomical and functional prediction played a crucial role in determining the approach for treating abdominal injuries in patients with polytrauma. The optimization of surgical management for abdominal injuries in combined thoracoabdominal trauma hinges on avoiding exploratory laparotomies and incorporating surgical strategies outlined in the concepts of nonoperative management of solid organ injuries and damage control surgery.https://cp-medical.com/index.php/journal/article/view/598combined blunt abdominal traumaabdominal interventioncombined traumapolytrauma |
| spellingShingle | Serhii I. Panasenko Serhii O. Guriev Volodymyr V. Nehoduiko Nizar R. Kerbazh SURGICAL TREATMENT OF ABDOMINAL INJURIES WITH COMBINED TRAUMA AND POLYTRAUMA: A COMPARATIVE ANALYSIS OF THE STRUCTURE AND COMPONENTS OF THE ABDOMINAL INTERVENTION PHASE (MESSAGE TWO) Клінічна та профілактична медицина combined blunt abdominal trauma abdominal intervention combined trauma polytrauma |
| title | SURGICAL TREATMENT OF ABDOMINAL INJURIES WITH COMBINED TRAUMA AND POLYTRAUMA: A COMPARATIVE ANALYSIS OF THE STRUCTURE AND COMPONENTS OF THE ABDOMINAL INTERVENTION PHASE (MESSAGE TWO) |
| title_full | SURGICAL TREATMENT OF ABDOMINAL INJURIES WITH COMBINED TRAUMA AND POLYTRAUMA: A COMPARATIVE ANALYSIS OF THE STRUCTURE AND COMPONENTS OF THE ABDOMINAL INTERVENTION PHASE (MESSAGE TWO) |
| title_fullStr | SURGICAL TREATMENT OF ABDOMINAL INJURIES WITH COMBINED TRAUMA AND POLYTRAUMA: A COMPARATIVE ANALYSIS OF THE STRUCTURE AND COMPONENTS OF THE ABDOMINAL INTERVENTION PHASE (MESSAGE TWO) |
| title_full_unstemmed | SURGICAL TREATMENT OF ABDOMINAL INJURIES WITH COMBINED TRAUMA AND POLYTRAUMA: A COMPARATIVE ANALYSIS OF THE STRUCTURE AND COMPONENTS OF THE ABDOMINAL INTERVENTION PHASE (MESSAGE TWO) |
| title_short | SURGICAL TREATMENT OF ABDOMINAL INJURIES WITH COMBINED TRAUMA AND POLYTRAUMA: A COMPARATIVE ANALYSIS OF THE STRUCTURE AND COMPONENTS OF THE ABDOMINAL INTERVENTION PHASE (MESSAGE TWO) |
| title_sort | surgical treatment of abdominal injuries with combined trauma and polytrauma a comparative analysis of the structure and components of the abdominal intervention phase message two |
| topic | combined blunt abdominal trauma abdominal intervention combined trauma polytrauma |
| url | https://cp-medical.com/index.php/journal/article/view/598 |
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