Khirurgiia · 2026
[Surgical treatment for traumatic bowel injury].
Аннотация на английскомСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Bagatelia Z A, Grekov D N, Karpov A A, Kolotilshchikov A A, Eminov M Z, Ankin A V, Petrishin M V
Аннотация
OBJECTIVE: To study treatment outcomes in patients with traumatic bowel injury in peacetime.
MATERIAL AND METHODS: A retrospective study involved 27 patients with traumatic bowel injury who underwent surgery at Botkin Hospital in 2016-2024. All patients were delivered to the shock room of the emergency department for initial examination. In 25 cases, we performed contrast-enhanced CT before surgery; 2 patients were sent to the operating theater immediately.
RESULTS: Primary repair of small bowel was performed in 4 patients, small bowel resection - in 12 patients, colon resection - in 8 patients. Primary anastomosis was formed in 12 cases, ileostomy/colostomy - in 11 patients. Risk factors for primary anastomosis are unstable hemodynamics requiring inotropic support; massive transfusion therapy; fecal contamination of abdominal cavity; more than 6-hour preoperative period.
CONCLUSION: Available experience, damage control surgery and necessary reconstruction of bowel continuity inspired own treatment algorithm for this category of patients to reduce morbidity and mortality.
MATERIAL AND METHODS: A retrospective study involved 27 patients with traumatic bowel injury who underwent surgery at Botkin Hospital in 2016-2024. All patients were delivered to the shock room of the emergency department for initial examination. In 25 cases, we performed contrast-enhanced CT before surgery; 2 patients were sent to the operating theater immediately.
RESULTS: Primary repair of small bowel was performed in 4 patients, small bowel resection - in 12 patients, colon resection - in 8 patients. Primary anastomosis was formed in 12 cases, ileostomy/colostomy - in 11 patients. Risk factors for primary anastomosis are unstable hemodynamics requiring inotropic support; massive transfusion therapy; fecal contamination of abdominal cavity; more than 6-hour preoperative period.
CONCLUSION: Available experience, damage control surgery and necessary reconstruction of bowel continuity inspired own treatment algorithm for this category of patients to reduce morbidity and mortality.