Abstract
Thoraco-abdominal wounds are the most severe injuries of the chest and abdomen, with mortality reaching 13–20 %. The main focus of treatment of such patients is surgical correction of the injuries. Wide range of classical and minimally invasive interventions is used for treatment of victims . The paper presents the range of views of modern researchers on the indications for laparocentesis, drainage of the pleural cavity, thoracoscopy and laparoscopy, thoracotomy and laparotomy in this pathology. The opinions of various researchers on the optimal combination of interventions and tactics of surgical treatment of victims with thoraco-abdominal wounds are presented. It is necessary to continue the search for optimal combinations of classical and minimally invasive interventions in relation to a variety of clinic situations that arise in the treatment of patients with thoraco-abdominal wounds.
Highlights
Federal State Budgetary Educational Institution of Higher Education «Perm State Medical University named after Academician E
The paper presents the range of views of modern researchers on the indications for laparocentesis, drainage of the pleural cavity, thoracoscopy and laparoscopy, thoracotomy and laparotomy in this pathology
It is necessary to continue the search for optimal combinations of classical and minimally invasive interventions in relation to a variety of clinic situations that arise in the treatment of patients with thoraco-abdominal wounds
Summary
Federal State Budgetary Educational Institution of Higher Education «Perm State Medical University named after Academician E. В обзоре представлен диапазон взглядов современных исследователей на показания к применению лапароцентеза, дренирования плевральной полости, торакоскопии и лапароскопии, торакотомии и лапаротомии при этом патологическом состоянии. Активно использующие торакоскопию в лечении ТАР, выделяют показания к конверсии торакоскопии в торакотомию: сквозные раны прикорневой зоны легкого, раны и гематомы средостения, ранения пищевода и перикарда, массивный спаечный процесс в плевральной полости, сопровождающийся клинической картиной внутригрудного кровотечения, интенсивное кровотечение из межреберных сосудов, отсутствие возможности эндоскопического наложения шва на рану диафрагмы [5, 7, 19].
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