Express method of determining blood in the abdominal cavity in closed abdominal injuries

The article describes an express-method of determining intraabdominal bleeding with the help of a benzidine test based on the ability of the hemine group of hemoglobin to catalyze the reaction of benzidine oxidation with hydrogen peroxide.     

Qualitative and quantitative puncture examination of lateral canals of the abdominal cavity in closed abdominal injury

The diagnostic puncture of lateral canals of the abdominal cavity in patients with closed trauma of the abdomen was made in 312 patients with associated trauma. Negative results were obtained in 166 patients. Retroperitoneal hematomas were diagnosed in 66 patients, reliable in 98.5%. In 80 patients injuries of the abdominal organs were diagnosed. The volume of intraabdominal blood loss (accurate within 80.7%) was determined before operation in 31 of them with the help of puncture with +/- 200 ml error. The diagnostic significance of lateral canals was 99.7%. Complications were the involvement of the liver in 4 patients not requiring any curative measures.     

Diagnostic laparoscopy and treatment choice in patients with closed abdominal injuries

The results of laparoscopic investigations, conducted in 94 injured persons with preliminary diagnosis of closed abdominal trauma were analyzed. Of them in 47 the damage of internal organs was excluded. In an emergent order there were operated on 47 patients. Splenectomy was performed in 28 patients (including 2--in whom simultaneously the hepatic and pancreatic lacerations were closed by sutures), cholecystectomy--in 3, cholecystostomy, drainage of bursa omentalis--in 1, resection of small intestine--in 2, resection of omentum--in 1, closure of the small intestine wounds with sutures--in 3, of the bladder with epicystostomy performance--in 2, of the small intestine mesentery--in 2, of the liver--in 1, drainage of bursa omentalis--in 1, opening of infrahepatic abscess--in 1, examination of retroperitoneal hematoma with drainage--in 2.     

Diagnostic and prognostic value of indicators of the hemostasis system in closed abdominal injuries

The author believes that for diagnosis of injuries of the inner organs of the abdominal cavity the decisive algorhythm rule should include a combination of clinical and hemocoagulation signs. When prognozing the course of the early post-traumatic period the complex of most informative indices of coagulogram should be taken into consideration.     

腹腔镜在闭合性腹部损伤中的应用

目的:探讨腹腔镜用于诊治闭合性腹部损伤患者的价值。方法:回顾分析我院2004年1月至2006年12月收治的28例闭合性腹部损伤患者的临床资料。结果:28例患者经腹腔镜探查均明确诊断,其中23例经腹腔镜完成探查及治疗,5例中转开腹。全部病例术后未发生并发症。结论:腹腔镜用于诊断和治疗闭合性腹部损伤具有独特的优势,既可明确诊断又能同时治疗,降低了阴性剖腹探查率。     

Surgical treatment of closed abdominal injuries

The experience with diagnosis and treatment of closed abdominal injuries in a specialized department of polytrauma for 3 years is summarized. The diagnostic and surgical tactics in given pathology consisting in early diagnosis of possible injuries to the viscera and emergency operative intervention is presented.     

Emergency laparoscopy in closed abdominal injuries]

Results of emergency laparoscopies in 240 patients with closed traumas of the abdomen are presented. No injuries were found in 154 patients when performing laparoscopy. By the authors' data the diagnostic informative value of laparoscopy in closed traumas made up 98%. Wide use of laparoscopy allowed to avoid diagnostic laparotomy in doubtful clinical picture of closed abdominal traumas.