Surgical treatment of multiple and concomitant injuries

The objective of the study was to conduct a comparative analysis of the results of traditional and modern methods of surgical treatment of patients with severe concomitant injury, accompanied by fractures of the tubular bones of the limbs.Material and methods. The retro-and prospective analysis of t...

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Main Authors: F. I. Ibragimov, N. A. Kasumov
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2018-10-01
Series:Вестник хирургии имени И.И. Грекова
Subjects:
Online Access:https://www.vestnik-grekova.ru/jour/article/view/1048
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author F. I. Ibragimov
N. A. Kasumov
author_facet F. I. Ibragimov
N. A. Kasumov
author_sort F. I. Ibragimov
collection DOAJ
description The objective of the study was to conduct a comparative analysis of the results of traditional and modern methods of surgical treatment of patients with severe concomitant injury, accompanied by fractures of the tubular bones of the limbs.Material and methods. The retro-and prospective analysis of the results of surgical treatment of 1033 patients with severe concomitant injury hospitalized in Baku Clinical Hospital № 3 for the period from 2009 to 2015 is presented. The patients were divided into 2 groups for a comparative evaluation of the results of treatment, depending on the effectiveness of the applied medical tactics. The 1st (main) group consisted of 828 (80.2 %) patients who were treated using the tactics of programmed multi-stage surgical treatment in accordance with the concept of «damage control». The 2nd (comparison group) included 205 (19.8 %) patients, who were treated using the traditional tactics of surgical treatment.Results. In a multi-field General surgical hospital, the introduction of the «damage control» program using the tactics of programmed surgical treatment in patients with severe concomitant and multiple injury allowed to increase surgical activity and reduce the mortality rate from 45.9 to 21.6 %.Conclusion. The application of tactics of stage surgical correction of injuries allows to improve the immediate results of treatment of patients with severe concomitant and multiple injury.
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series Вестник хирургии имени И.И. Грекова
spelling doaj-art-aad7d92403a14a29ae7d96276a7e4d0c2025-08-20T03:02:11ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252018-10-011775303510.24884/0042-4625-2018-177-5-30-35908Surgical treatment of multiple and concomitant injuriesF. I. Ibragimov0N. A. Kasumov1City Clinical Hospital № 3Azerbaijan State Advanced Training Institute for Doctors named after AlievThe objective of the study was to conduct a comparative analysis of the results of traditional and modern methods of surgical treatment of patients with severe concomitant injury, accompanied by fractures of the tubular bones of the limbs.Material and methods. The retro-and prospective analysis of the results of surgical treatment of 1033 patients with severe concomitant injury hospitalized in Baku Clinical Hospital № 3 for the period from 2009 to 2015 is presented. The patients were divided into 2 groups for a comparative evaluation of the results of treatment, depending on the effectiveness of the applied medical tactics. The 1st (main) group consisted of 828 (80.2 %) patients who were treated using the tactics of programmed multi-stage surgical treatment in accordance with the concept of «damage control». The 2nd (comparison group) included 205 (19.8 %) patients, who were treated using the traditional tactics of surgical treatment.Results. In a multi-field General surgical hospital, the introduction of the «damage control» program using the tactics of programmed surgical treatment in patients with severe concomitant and multiple injury allowed to increase surgical activity and reduce the mortality rate from 45.9 to 21.6 %.Conclusion. The application of tactics of stage surgical correction of injuries allows to improve the immediate results of treatment of patients with severe concomitant and multiple injury.https://www.vestnik-grekova.ru/jour/article/view/1048concomitant and multiple injuryfractures of the tubular bones of the limbsconcept of «damage control»tactics of programmed multi-stage surgical treatmentsurgical activitymortality
spellingShingle F. I. Ibragimov
N. A. Kasumov
Surgical treatment of multiple and concomitant injuries
Вестник хирургии имени И.И. Грекова
concomitant and multiple injury
fractures of the tubular bones of the limbs
concept of «damage control»
tactics of programmed multi-stage surgical treatment
surgical activity
mortality
title Surgical treatment of multiple and concomitant injuries
title_full Surgical treatment of multiple and concomitant injuries
title_fullStr Surgical treatment of multiple and concomitant injuries
title_full_unstemmed Surgical treatment of multiple and concomitant injuries
title_short Surgical treatment of multiple and concomitant injuries
title_sort surgical treatment of multiple and concomitant injuries
topic concomitant and multiple injury
fractures of the tubular bones of the limbs
concept of «damage control»
tactics of programmed multi-stage surgical treatment
surgical activity
mortality
url https://www.vestnik-grekova.ru/jour/article/view/1048
work_keys_str_mv AT fiibragimov surgicaltreatmentofmultipleandconcomitantinjuries
AT nakasumov surgicaltreatmentofmultipleandconcomitantinjuries