FEATURES OF SURGICAL TACTICS IN ABDOMINAL INJURY AMONG CIVILIANS DUE TO HOSTILITIES

Summary. Aim. Analyze the features of diagnosis and surgical tactics in abdominal trauma among civilians as a result of hostilities. Materials and methods. In 52 (26.9%) of civilian wounded, combined or isolated mechanical abdominal injuries were detected. The mechanism of injury revealed: penetrating wounds – 42 (80.8%) of the victims; blunt abdominal injury – 10 (19.2%). The nature of penetrating wounds: isolated shrapnel wounds – 16 (30.8%); combined shrapnel wounds of the abdomen and other areas of the body – 12 (23.1%); explosive wounds – 12 (23.1%); isolated bullet abdominal wound – 2 (3.8%). Results. 20 (38.5%), hemodynamically unstable wounded surgery was performed according to the Damage Control Surgery strategy with no more than 2 relay. 32 (61,5%) hemodynamically stable wounded, further tactics depended on clinical and laboratory changes, the results of computed tomography of abdominal organs, retroperitoneal space, pelvis, and surgery was given mini-invasive access during surgical interventions. Conclusion. Civil wounds are a severe heterogeneous group of victims, as in physiological, psychological parameters, concomitant pathologies, which requires the provision of combatant multidisciplinary care.