Open-access and endoscopic methods of treatment of closed abdominal trauma on background of cranio-cerebral trauma of the middle degree of severity and severe

Abstract

Objective. To estimate the treatment efficacy of videolaparoscopy (VLS) in a closed abdominal trauma (CAT) on background of cerebral injury of middle and severe degree. Маterials and methods. The experience of treatment of 52 injured persons, suffering CAT on background of cranio-cerebral trauma (CCT) of the middle severity and severe, was analyzed. With the objective to compare the efficacy of various treatment methods for consequences of injuries of abdominal organs all the patients were divided into two Groups: Group I - the patients, in whom VLS interventions were applied, and Group II - the patients, in whom laparotomy was used. Results. There was established, that application of carboxyperitoneum in VLS did not influenced negatively a state of the patients’ consciousness (its step-by-step restoration, beginning from the first day were observed in both groups); reduced the level of polyorgan insufficiency, estimated in accordance to the polyorgan dysfunction scale, іntraabdominal hypertension and have promoted more rapid normalization of indices of the blood gas content. Conclusion. Application of videolaparoscopy permits effective delivering of help to the injured persons, suffering abdominal trauma, coexistent with the brain damage of the middle severity degree and severe, as well as lowering of lethality in 2.2 times.

Keywords

• combined trauma; videolaparoscopy; cranio-cerebral trauma; іntraabdominal hypertension.