Haida Y. Modern methods of surgical treatment of gunshot wounds of the liver

The purpose of the dissertation research is to improve the results of diagnostics and surgical treatment of wounded with liver gunshot wounds in combat trauma to the abdomen, by using modern minimally invasive technologies. Thus, due to the use of laparoscopy in the II level of medical treatment in the main group, the number of laparotomies was lowered by 27,8 % (p<0,001). Thus, due to the combined use of modern minimally invasive methods for the surgical treatment of gunshot wounds of the liver on the IV level of medical treatment, namely: retrograde cholangiopancreatography, papillosphincterotomy and biliary tract wall pain – 20 (37,0 %) successful cases; puncture and drainage under ultrasound navigation with an abscess and hemobiles – 16 (29,6 %) cases and endovascular embolization of the liver vessels – 5 (9,3 %) successful cases, in the main group (n=54) we managed to avoid relaparotomies in 41 (75,9 %) case, thereby significantly reducing the morbidity and duration of treatment. Due to the combined use of modern methods of surgical treatment of liver wounds in the main group (n=54) compared with the comparison group (n=47), the treatment duration from 42,4±2,7 to 32,2±1,4 hospital days was possible (p<0,001), as well as the number of postoperative complications from 78,7 to 59,3 % (p<0,05), respectively.