[Complications after cardiac injuries].

An analysis of 293 victims with cardiac and pericardium injuries was made. Cardiac complications could appear suddenly and be registered on any stage of treatment process. They differentiated by character and duration of wound process.

[Injuries of the duodenum].

Results of surgical treatment of 69 patients with injuries of the duodenum were analyzed. The most frequent causes of the injury were stab-incised wound of the abdomen (43 patients), gunshot wounds (2 patients), closed injury of the abdomen. Postoperative complications developed in 18 (26%) cases.

[On the question of heart injuries].

The work is devoted to an analysis of hospitalized patients to the specialized department of injuries of the chest and abdomen of the Mariinskaja hospital at the period from 1993 through 2010. The diagnosis of injury of the pericardium and heart had 280 patients, during the operative treatment heart injuries were detected in 156 (55.71%) patients.

[Surgical treatment of injuries of the large vessels].

The authors present an experience with treatment of 99 patients with primary wounds of main vessels. The age of the patients was from 42 through 83 yeas. In 85 patients there were stab wounds, 9 patients had gunshot wounds, in 5 patients injuries of the main vessels were results of blunt trauma.

[The surgical procedure in pancreatic injuries].

The authors made an analysis of their experiences with treatment of 101 patients with injuries of the pancreas. Choice of the most rational surgical treatment of injuries of this organ depends on the degree and character of the injury. In 80% of the patients the development of traumatic pancreatitis was noted.

[Injuries of the duodenum].

During 10 years there were 94 patients aged 16-68 years with injuries of the duodenum. Their case histories were studied in order to establish the causes of complications and lethality. Among them there were 48 patients with knife wounds, 5 patients with gunshot wounds, closed trauma of the abdomen was diagnosed in 40 patients, 1 patient had a iatrogenic wound of the duodenum.

[Experience in the surgical treatment of organic injuries to the urinary system].

The authors analyzed their experiences with treatment of 111 patients with open and closed, gunshot and not gunshot injuries of the kidneys, ureters, urinary bladder and urethra. Recommendations are given for diagnosis and methods of treatment which can improve the results of treatment of such patients.

[Surgical care in duodenal injuries].

The authors observed 40 patients with an injury of the duodenum. Isolated injuries of the duodenum were diagnosed in 10 patients with a closed trauma and in 3 patients with penetrating wounds of the abdomen. Most frequent are injuries of the duodenum in combination with traumas of other organs of the abdominal cavity.

[Problems in the diagnosis and surgical care of thoracoabdominal wounds].

The article presents an 11 years experience in work of a specialized department of thoracoabdominal trauma with an analysis of treatment of 292 wounded. The main causes of the thoracoabdominal wounds (TAW) were knife stabs (96.2% of the patients).

[Problems of the surgical approach in splenic injury].

Under analysis is an experience with treatment of 187 patients with injuries to the spleen. Specific features of the clinical course, diagnostics and surgical methods are discussed. Splenectomy was necessary in 87% of the patients.

[The surgical treatment of liver injuries].

The article sums up an experience with treatment of 342 patients with injuries to the liver at a specialized unit for thoracoabdominal trauma. Under analysis are problems of diagnosis, classification, surgical policy and causes of lethal outcomes.

[The possibilities of surgical treatment in injuries to the major blood vessels today].

Under analysis were results of surgical treatment of 47 patients with injuries of the aorta, major arteries and veins. Higher lethality was noted in people with injuries of major veins, especially vena cava. Specific operative methods are described for various kinds of injuries of the vessels of the thoracic and abdominal cavities.

[Blood reinfusion in injuries of the chest and abdomen].

Reinfusion of blood used in 78 patients with injuries of the chest and abdomen has shown the method to be clinically effective and expedient including treatment of injuries of hollow organs of the abdominal cavity. The technique of blood reinfusion for different injuries is described. Data are presented which allow to suspect that the reinfused blood has curative properties in treatment of injuries of the chest and abdomen.

[Injuries of the heart and pericardium].

The work presents data of 25 patients with wounds of the heart and pericardium. Clinical diagnostics, tactics and results of treatment are described. Attention is called to the importance of the method of thoracoscopy in determination of the character of injuries.