Levkіvskyi R. Features surgical tactics in victims with closed abdominal injury combined with damage to the small and large intestine.

Українська версія

Thesis for the degree of Candidate of Sciences (CSc)

State registration number

0414U003456

Applicant for

Specialization

  • 14.01.03 - Хірургія

27-05-2014

Specialized Academic Board

Д 05.600.01

Vinnytsia National Pirogov Memorial Medical University

Essay

Object - affected with damage to small intestine and colon combined with closed concomitant abdominal injury (CCAI); goal - to improve the results of surgical treatment of patients with damage to the small intestine and colon in CCAI improved by applying differentiated surgical treatment depending on the prognosis of traumatic disease and development opportunities reverse the morphological changes of the intestinal wall; methods - clinical, laboratory, radiographic, ultrasonic, histological, MRI, spiral computed tomography, integrated reography body statistics; results - the first time the connection between the current outlook for the life of traumatic disease victims with damage the small and large intestine in CCAI and degree of disturbance of the systemic circulation with cardiac index; first determined possibility of reversible or irreversible morphological changes of the small intestine wall depending on the degree of circulatory disorders and impact on cardiac index; first time and the volume of surgical interventions on the small and large intestine depending on the prognosis of traumatic disease and the possibility of development of morphological changes in injured when CCAI; first proposed method mini ekstraabdomination anastomosis in patients with damage to the small intestine with a favorable prognosis, and the possibility of irreversible morphological changes; branch – medicine.

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