Frank O. Optimization of diagnostics and surgical treatments of abdominal trauma due to katatrauma.

The research was based on developing approaches to diagnostics methods and surgical treatment of 106 patients with abdominal trauma due to katatrauma. Based on organ damages involved:, depending on fall from height, type of fall and the mode of landing, a diagnostic protocol for defining the probability of organ (tissue) damage was developed.Based on comparative analysis, it has been shown that the condition of the patients depends on the structures (organs) damaged, and as a result from categories of patients were define. The developed diagnostic scheme helped optimized the volume and decrease in time for successive processes of investigations. The patients involved went through reanimation, emergency and planed surgical interventions according to the developed diagnostic algorithm.The use of video laparoscopic methods (laparoscopic electrocaugulation of liver rupture, cleppage of splenic arteries), endovascular (embolization of the hepatic and splenic arteries) helped in achieving haemostasis in patients who were in critical conditions with high risk of surgical interventions. We developed organ preservation surgical methods of splenic ruptures which helped in reducing the post surgical complications.The use of the developed diagnostic and medical interventions algorithm helped in reducing the time involved in diagnosis, lower the frequency of complications from 44.3% to 29,2% thus by 1.5, mortality decreased from 22.7% to 17,0% thus by 1.3