Evidence of the Effectiveness of a Step-By-Step Surgical Method in Severe Liver Damage with Combined Trauma

Umedov, Khushvaqt Alisherovich (2025) Evidence of the Effectiveness of a Step-By-Step Surgical Method in Severe Liver Damage with Combined Trauma. American Journal of Pediatric Medicine and Health Sciences, 3 (1). pp. 49-53. ISSN 2993-2149

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Abstract

Theauthorsproposedactivesurgicaltacticsas"damagecontrol" in traumatic liver injuries. The “damage control” method has been usedin the SFRSCEMP since 2013as the only method of saving the lives of patientswith traumatic liver injuries. During 2013–2023, 140 patients with liver injurywere operated on in the emergency surgery departments of the SFRNCEMMP. Ofthese,19(14.61%)patientswithsevereliverinjuriesofIVandVdegrees of damage according to E.Moore. The effectiveness of multi-stage tacticswasassessedbythelevelofmortalityandthenumberofpurulent-septiccomplications. The results of surgical treatment of 19 patients with massive liver damage,aged17to50years,werestudied.Theaverageageis26years.Ofthese,11men, 8 women. The average assessment of the severity of injuries on a scaleISSwas34points(17-76),accordingtoE.MooreIVandVdegreesofinjury.Themean blood loss was 2800 ml (1750-3850 ml). All patients underwent a multistagelaparotomywithgauze(film)tamponade,theaveragenumberofoperationsper1personwas2.7(2-5),suturingoftheliverwoundwithtamponade (13), extensive hepatotomyand ligation of blood vessels (3), atypicalresection(2),stitchingoflargemainvesselswithtaponade(1).Theaveragebed/day in the intensive care unit is 13 (3-16) and the average bed/day in theclinicis25(3-28).Mortalitywas26.3%(5outof19),mainlypurulent-septiccomplications and multiple organ failure. The use of the "damage control" technique helped to reduce the incidence ofmortality from acute pathology of the abdominal organs by 26.3%

Item Type:	Article
Subjects:	R Medicine > R Medicine (General)
Divisions:	Postgraduate > Master's of Management
Depositing User:	Journal Editor
Date Deposited:	06 Mar 2025 12:02
Last Modified:	06 Mar 2025 12:02
URI:	http://eprints.umsida.ac.id/id/eprint/15792

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