[The staged surgical treatment of the injured persons with severe closed combined abdominal trauma].

In 91 injured persons, suffering severe closed combined abdominal trauma, the staged surgical treatment was conducted, in 41 of them the operation was performed during one narcosis, but with surgical pause after temporary stopping of hemorrhage, in 50 the "damage control surgery" was applied. Unstable critical state of the injured persons, "unfavorable" prognosis of course of an acute period of the traumatic disease served as indications for the staged surgical treatment conduction. While the urgent laparotomy performance the surgical manipulations were conducted in minimal volume, surgical pause was applied with the patient's state reestimation.

[Prognosis of the traumatic disease course in injured persons with closed combined abdominal trauma as the main criterion for application of a staged surgical intervention tactics].

The method of estimation of the injury severity and the traumatic disease course prognostication was improved and introduced into practice, trying to optimize the choice of the treatment--diagnostic tactic in injured persons with closed combined abdominal trauma (CCAT). Application of the improved anatomic--functional model permits to estimate severity and to prognosticate the course of the traumatic disease in injured persons with CCAT with trustworthiness (81.7 +/- 4.

[Use of intraorganic electrophoresis in the treatment of peritonitis in children].

There were examined 53 patients aged from 1 to 14 years. The galvanization of an abdomen method with the help of current while preliminary intravenous and intraperitoneal antibiotics injection was used in the treatment of 21 patient. It permitted to avoid the relaparotomy conduction, to reduce the postoperative complications appearance frequency, and also to shorten the duration of hospital stay.

[The choice of the surgical method in patients with liver injuries].

Results of clinical observations and anatomic-topographic investigations of an injured liver were analyzed. Liver laceration between portal complexes and the hepatic veins system without large vessels traumatization were observed in the closed injury. The mattress or harelip stitches were placed on the defect.

[The use of direct current in cleansing the gallbladder after cholecystostomy].

The authors developed and introduced into practice a method for the treatment of acute complicated cholecystitis. It consists in the creation of laparoscopic cholecystostoma and conduction of intracystic electrophoresis of healing agents through a drain in the postoperative period. The method was used with a favorable results in 8 patients with increased operative risk.