Ways of improving surgical tactics in the treatment of victims of motor vehicle accidents with combined mechanical trauma

Abstract

Aim. To study the effectiveness of the surgical tactic «Damage control» in providing medical care to victims of motor vehicle accidents with associated mechanical injuries of various locations. Methods. 85 victims of motor vehicle accidents with associated mechanical injuries of various locations from 2006 to 2010 were the subjects of the clinical study. Depending on the surgical approach, which was chosen on the basis of assessment of the severity of the condition and injuries, the patients were divided into two groups. The first (main) group included 35 (41.2%) victims, in whom the stepwise tactic of trauma elimination «Damage control» was used. The second (comparison) group consisted of 50 (58.8%) patients, in whom the traditional tactic of simultaneous treatment of all lesions during the surgical intervention was applied. An analysis of the dynamics of clinical indicators, incidence of complication development and mortality was conducted depending on the chosen surgical treatment tactic. Results. The overall incidence of complications in the early postoperative period in the first group was lower by 38.0% and the mortality - by 7.7%. Conclusion. The use of the «Damage control» surgical tactic is effective in the complex treatment of victims of motor vehicle accidents with associated mechanical trauma.