[Choice of the method of surgical treatment of spleen disruption in combined and isolated abdominal trauma in terms of endosurgery].

The results of the treatment of 378 patients with severe combined (n=270) and isolated (n=108) close abdominal trauma with an injury of the spleen are analyzed. Overall lethality was 11.9% including 7.

[Surgical policy and future of endo-surgery of closed abdominal injuries in severe combined trauma].

Results of examination and treatment of 646 patients with severe combined trauma and closed abdominal trauma are analyzed. Laparocentesis and laparoscopy were used for diagnosis. Laparocentesis (342 procedures) diagnosed injuries of the abdominal organs in 47% cases and excluded them in 33% cases that made a total of 80% of accurate diagnoses.

[Organ-saving method of treatment of spleen disruption].

Based on 102 X-ray and 73 anatomic examinations, the scheme of arterial circulation of the pancreas and spleen, features of their collateral circulation are analyzed. Optimal level of spleen artery ligation at proximal part as the main stage of organ-saving surgical treatment in traumatic disruption of the spleen is substantiated.

[Evaluation of status severity in patients with isolated and combined injury of abdomen associated with spleen disruption].

Results of treatment of 378 patients with severe combined and isolated abdominal trauma with spleen injury are analyzed. Severity of patients state and severity of trauma are assessed. General lethality was 11.