Optimization of diagnostics of combat injuries of the abdomen

O. S. Herasymenko, V. Y. Shapovalov, R. V. Yenin, M. A. Koshikov, Y. I. Haida, S. D. Herasymenko, K. R. Muradyan, A. V. Okolets

DOI: http://dx.doi.org/10.12775/JEHS.2021.11.04.003

Abstract


The aim - to optimize the diagnostic scheme for combat abdominal injuries at the II level of medical care by identifying the most informative and fast instrumental diagnostic methods.

A clinical and statistical analysis of the results of surgical treatment of 496 wounded with combat abdominal injuries treated in military mobile hospitals from June 2014 to August 2017 was carried out. Additional diagnostic tests were conducted for the injured with BPH in the comparison groups - FAST protocol, laparocentesis and diagnostic laparoscopy.

In the general array of the study (n = 496), the FAST protocol was performed by 208 wounded (41.9%), laparocentesis - 270 (54.4%), video laparoscopy - 103 (20.8%). The number of emergency ultrasound studies in the volume of the FAST protocol with combat abdominal injuries in group 1 was 19.2%, in group 2 - 40.7%, in group 3 - 66.5%. A more frequent FAST protocol for injured with BPG at level II of medical care in groups 2 and 3 resulted in a decrease in the number of laparocentesis performed from 68.3% (in group 1) to 38.6% (in group 3), and an increase in the number of video laparoscopic studies from 14.9% (in group 1) to 26.6% (in group 3), most of which turned into therapeutic laparoscopy.

The data obtained indicate that the widespread introduction of the FAST protocol into the PID diagnosis scheme at the II level of medical care helps to reduce the number of invasive (often unfounded) methods, namely, laparocentesis and diagnostic laparotomy, reduce the time spent on diagnosis and the choice of optimal surgical tactics.


Keywords


combat injuries of the abdomen; laparocentesis; videolaparoscopy; ultrasound.

Full Text:

PDF

References


E.V. Svitlychnyi, O.I. Hrechanyk. Ultrazvukova diahnostyka travmy ta yii uskladnen. – K.: SPD Chaplynska N.V., 2016. – 215 s. (in Ukrainian).

I.P. Khomenko, E.V. Svitlychnyi, O.I. Hrechanyk, O.M. Melnyk, B.A. Tarasiuk, K.R. Muradian. Ekstreni ultrazvukovi doslidzhennia pry travmi FAST-protokol. – Kyiv: «Vydavnytstvo Liudmyla», 2018. – 66 s. (in Ukrainian).

Chestovich PJ, Browder TD, Morrissey SL, Fraser DR, Ingalls NK, Fildes JJ. Minimally invasive is maximally effective: diagnostic and therapeutic laparoscopy for penetrating abdominal injuries. J Trauma Acute Care Surg. 2015;78: 1076–1085. doi: 10.1097/TA.0000000000000655.

Como JJ, Bokhari F, Chiu WC, Duane TM, Holevar MR, Tandoh MA, et al. Practice management guidelines for selective nonoperative management of penetrating abdominal trauma. J Trauma. 2010;68: 721–733. doi: 10.1097/TA.0b013e3181cf7d07

Koto MZ, Matsevych OY, Motilall SR. The role of laparoscopy in penetrating abdominal trauma: our initial experience. J Laparoendosc Adv Surg Tech A. 2015;25: 730–736. doi: 10.1089/lap.2015.0042.

Lee PC, Lo C, Wu JM, Lin KL, Lin HF, Ko WJ. Laparoscopy decreases the laparotomy rate in hemodynamically stable patients with blunt abdominal trauma. Surg Innov. 2014;21: 155–165. doi: 10.1177/1553350612474496

Lin HF, Chen YD, Lin KL, Wu MC, Wu CY, Chen SC. Laparoscopy decreases the laparotomy rate for hemodynamically stable patients with blunt hollow viscus and mesenteric injuries. Am J Surg. 2015;210: 326–333. doi: 10.1016/j.amjsurg.2014.11.009

Lin HF, Wu JM, Tu CC, Chen HA, Shih HC. Value of diagnostic and therapeutic laparoscopy for abdominal stab wounds. World J Surg. 2010;34: 1653–1662. doi: 10.1007/s00268-010-0485-5.

Nicolau AE. Is laparoscopy still needed in blunt abdominal trauma? Chirurgia (Bucur). 2011;106: 59–66.

Uranues S, Popa DE, Diaconescu B, Schrittwieser R. Laparoscopy in penetrating abdominal trauma. World J Surg. 2015;39: 1381–1388. doi: 10.1007/s00268-014-2904-5.


Article Metrics

Metrics Loading ...

Metrics powered by PLOS ALM




Journal of Education, Health and Sport formerly Journal of Health Sciences

Declaration on the original version.

Editors indicates that the main version of the magazine is to issue a "electronic".

The journal has had 5 points in Ministry of Science and Higher Education parametric evaluation. § 8. 2) and § 12. 1. 2) 22.02.2019.

1223 Journal of Education, Health and Sport eISSN 2391-8306 7

ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

Archives 2011 - 2014

PBN 2011 - 2014

https://pbn.nauka.gov.pl/sedno-webapp/search?search&searchCategory=WORK&filter.inJournal=36616

POL-index 2011 - 2014

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-32a319c5-a850-4f44-ba70-1418a6087655

BASE 2011 - 2014

https://www.base-search.net/Search/Results?lookfor=Journal+of+Health+Sciences+%28Radom%29&type=all&oaboost=1&ling=1&name=&thes=&refid=dcrespl&newsearch=1

http://elibrary.ru/contents.asp?titleid=37467

http://journal.rsw.edu.pl/index.php/JHS/issue/archive

Indexed in Bases, Bazy indeksacyjne: ERIH Plus, Worldcat, PBN/POL-Index, ICI Journals Master List, Directory of Open Access Journals (DOAJ), ZBD, Ulrich's periodicals, Google Scholar, Polska Bibliografia Lekarska, EuroPub database, NLM Catalog Result - NCBI, BASE, Russian Sciences Index, Arianta.

https://zdb-katalog.de/title.xhtml?idn=1080187162

https://europub.co.uk/journals/22625

US NLM = 101679844

101679844 - NLM Catalog Result - NCBI

https://www.ncbi.nlm.nih.gov/nlmcatalog/101679844

Find a library that holds this journal: http://worldcat.org/issn/23918306

 

PBN Poland

https://pbn.nauka.gov.pl/sedno-webapp/journals/49068

POL-index

https://pbn.nauka.gov.pl/polindex-webapp/browse/journal/journal-c39c8169-88d2-45db-9e7f-d948ce9981c4

BASE

https://www.base-search.net/Search/Results?join=AND&bool0[]=AND&lookfor0[]=2391-8306&type0[]=all&page=11&l=pl&oaboost=1&refid=dcpagepl

Redaction, Publisher and Editorial Office

Publisher and Editorial Office
Department of Physical Culture,
Faculty of Earth Sciences and Spatial Management,
Nicolaus Copernicus University in Toruń, Poland
Address: Str. Lwowska 1, 87-100 Toruń, Poland

  Open Access ISSN 2391-8306 formerly ISSN: 1429-9623 / 2300-665X

The journal has been approved for inclusion in ERIH PLUS.

The ERIH PLUS listing of the journal is available at https://dbh.nsd.uib.no/publiseringskanaler/erihplus/periodical/info?id=485984

Indexed in Index Copernicus Journals Master List.

http://journals.indexcopernicus.com/Journal+of+Education+Health+and+Sport,p24782242,3.html

ICV 2019 = 100.00 ICV 2018 = 95.95 ICV 2017 = 91.30 ICV 2016 = 84.69 ICV 2015 = 93.34 ICV 2014 = 89.51 Standardized Value: 8.27 ICV 2013: 7.32 ICV 2012: 6.41 ICV 20115.48

RG Journal Impact: 0.18 *

*This value is calculated using ResearchGate data and is based on average citation counts from work published in this journal. The data used in the calculation may not be exhaustive.

RG Journal impact history

2020Available summer 2021
2018 / 20190.18
20170.07
20160.03

RG Journal impact over time

RG Journal impact
0.180.160.140.120.100.080.060.040.02201620172018
  

Indexed in Polish Scholarly Bibliography (PBN) (PBN Polska Bibliografia Naukowa) (https://pbn.nauka.gov.pl/journals/36616)

is a portal of the Polish Ministry of Science and Higher Education, collecting information on publications of Polish scientists and on Polish and foreign scholarly journals. Polish Scholarly Bibliograhpy is a part of POL-on - System of Information on Higher Education. It is operated by the Interdisciplinary Centre for Mathematical and Computational Modelling, University of Warsaw.

Indexed in Russian Sciences Index Российский индекс научного цитирования (РИНЦ) http://elibrary.ru/contents.asp?titleid=37467

Indexed in Arianta Polish scientific and professional electronic journals Aneta Drabek i Arkadiusz Pulikowski

(http://www1.bg.us.edu.pl/bazy/czasopisma/czasop_full.asp?id=3595)

Partnerzy platformy czasopism