Issue: 2012, Vol. 17, No. 4

Poznansky С. В., Evtikhova Е. Ю., Kolbashova Ю. Н.

ENDOVIDEOSURGICAL TECHNIQUES IN COMBINATIVE INJURES OF CHEST AND ABDOMEN

Keywords

combinative trauma, chest, abdomen, thoracoscopy, laparoscopy, injures monitoring

Abstarct

The authors analyzed the results of treatment for 128 patients with various types of combinative traumas of chest and abdominal cavity organs by videoendoscopic techniques. Thoracoscopy was performed in39 cases, laparoscopy – in 76 cases and thoraco- and laparoscopy – in 4 cases. The separate group was formed of 11 patients with combination of hemothorax and multiple floating rib fractures; they undergone the stabilization of chest osseous frame by the technique of minimally invasive wire fixation with thoracoscopic monitoring. Use of endovideosurgical techniques increased the accuracy and timely diagnosis of chest and abdomen organs injures significantly. All necessary interventions were performed endoscopically in 67 (52,3%) patients. It was managed to avoid ungrounded explorative thoracotomy in 39 (83,0%) cases and laparotomy in 28 (32,2%) cases.