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Diagnostic Methods and Surgical Treatment of Patients with Thoracoabdominal Traumas (Review of Literature)

Received: 30 April 2022     Accepted: 24 May 2022     Published: 17 August 2022
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Abstract

Thoracoabdominal traumatism is one of the topical problem of modern medicine due to its wide prevalence, the most severe course and unfavorable outcome. This article presents an overview of the epidemiology, diagnosis, and surgical treatment of patients with thoracoabdominal injuries. It shown that, current incidence of thoracoabdominal injuries is reached to 13.7-16.4% of all chest and abdominal injuries. Lethality inthoracoabdominal injuries range from 3.13% to 20%. In most cases these are patients of working age, with an average age of 27.5-34.8 years, men to comprise (71.2%). Nowadays, the amount of patients with thoracoabdominal injuries tends to increase in the Uzbekistan and other economically developing countries of the world because of raising of transportation, construction and crime. Video-thoracoscopy and video-laparoscopy are one of the widespread methods of diagnosing and treatment of thoracoabdominal traumas. According to many authors, specificity of video-laparoscopy and video-thoracoscopy is 100%, the sensitivity is 87.5–99.3%, and the predictive efficiency is 96.8 percent and the need for widespread use for performing minimally invasive medical manipulations as a reasonable alternative to open operations, indications for emergency and urgent thoracotomy and laparotomy, some new methods of operative surgical technique are proposed. However, in case of profuse bleeding into the pleural or abdominal cavity is indication to thoracotomy and laparotomy. Therefore researchers continue to search for promising ways to improve outcomes for patients with thoracoabdominal injuries. Researchers define rapid and accurate diagnostics aimed primarily at determining the volume of injuries of the chest, abdomen and diaphragm with subsequent selection of the best sequence of therapeutic measures.

Published in American Journal of Clinical and Experimental Medicine (Volume 10, Issue 4)
DOI 10.11648/j.ajcem.20221004.12
Page(s) 92-97
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2022. Published by Science Publishing Group

Keywords

Thoracoabdominal Injuries, Video-Laparoscopy, Video-Thoracoscopy, Damage Control, Thoracotomy, Laparotomy

References
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[3] Bagnenko S. F., Tulupov A. N. Actual problems of diagnosis and treatment of severe closed chest trauma. Ambulance 2009; (2): 4-10. [Багненко С. Ф., Тулупов А. Н. Актуальные проблемы диагностики и лечения тяжелой закрытой травмы груди. Скораямедицинскаяпомощь 2009; (2): 4-10.].
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  • APA Style

    Gulomidin Minkhodzhievich Khodzhimatov, Sardorbek Mamasobir Ugli Yakhyoev. (2022). Diagnostic Methods and Surgical Treatment of Patients with Thoracoabdominal Traumas (Review of Literature). American Journal of Clinical and Experimental Medicine, 10(4), 92-97. https://doi.org/10.11648/j.ajcem.20221004.12

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    ACS Style

    Gulomidin Minkhodzhievich Khodzhimatov; Sardorbek Mamasobir Ugli Yakhyoev. Diagnostic Methods and Surgical Treatment of Patients with Thoracoabdominal Traumas (Review of Literature). Am. J. Clin. Exp. Med. 2022, 10(4), 92-97. doi: 10.11648/j.ajcem.20221004.12

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    AMA Style

    Gulomidin Minkhodzhievich Khodzhimatov, Sardorbek Mamasobir Ugli Yakhyoev. Diagnostic Methods and Surgical Treatment of Patients with Thoracoabdominal Traumas (Review of Literature). Am J Clin Exp Med. 2022;10(4):92-97. doi: 10.11648/j.ajcem.20221004.12

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  • @article{10.11648/j.ajcem.20221004.12,
      author = {Gulomidin Minkhodzhievich Khodzhimatov and Sardorbek Mamasobir Ugli Yakhyoev},
      title = {Diagnostic Methods and Surgical Treatment of Patients with Thoracoabdominal Traumas (Review of Literature)},
      journal = {American Journal of Clinical and Experimental Medicine},
      volume = {10},
      number = {4},
      pages = {92-97},
      doi = {10.11648/j.ajcem.20221004.12},
      url = {https://doi.org/10.11648/j.ajcem.20221004.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajcem.20221004.12},
      abstract = {Thoracoabdominal traumatism is one of the topical problem of modern medicine due to its wide prevalence, the most severe course and unfavorable outcome. This article presents an overview of the epidemiology, diagnosis, and surgical treatment of patients with thoracoabdominal injuries. It shown that, current incidence of thoracoabdominal injuries is reached to 13.7-16.4% of all chest and abdominal injuries. Lethality inthoracoabdominal injuries range from 3.13% to 20%. In most cases these are patients of working age, with an average age of 27.5-34.8 years, men to comprise (71.2%). Nowadays, the amount of patients with thoracoabdominal injuries tends to increase in the Uzbekistan and other economically developing countries of the world because of raising of transportation, construction and crime. Video-thoracoscopy and video-laparoscopy are one of the widespread methods of diagnosing and treatment of thoracoabdominal traumas. According to many authors, specificity of video-laparoscopy and video-thoracoscopy is 100%, the sensitivity is 87.5–99.3%, and the predictive efficiency is 96.8 percent and the need for widespread use for performing minimally invasive medical manipulations as a reasonable alternative to open operations, indications for emergency and urgent thoracotomy and laparotomy, some new methods of operative surgical technique are proposed. However, in case of profuse bleeding into the pleural or abdominal cavity is indication to thoracotomy and laparotomy. Therefore researchers continue to search for promising ways to improve outcomes for patients with thoracoabdominal injuries. Researchers define rapid and accurate diagnostics aimed primarily at determining the volume of injuries of the chest, abdomen and diaphragm with subsequent selection of the best sequence of therapeutic measures.},
     year = {2022}
    }
    

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  • TY  - JOUR
    T1  - Diagnostic Methods and Surgical Treatment of Patients with Thoracoabdominal Traumas (Review of Literature)
    AU  - Gulomidin Minkhodzhievich Khodzhimatov
    AU  - Sardorbek Mamasobir Ugli Yakhyoev
    Y1  - 2022/08/17
    PY  - 2022
    N1  - https://doi.org/10.11648/j.ajcem.20221004.12
    DO  - 10.11648/j.ajcem.20221004.12
    T2  - American Journal of Clinical and Experimental Medicine
    JF  - American Journal of Clinical and Experimental Medicine
    JO  - American Journal of Clinical and Experimental Medicine
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    EP  - 97
    PB  - Science Publishing Group
    SN  - 2330-8133
    UR  - https://doi.org/10.11648/j.ajcem.20221004.12
    AB  - Thoracoabdominal traumatism is one of the topical problem of modern medicine due to its wide prevalence, the most severe course and unfavorable outcome. This article presents an overview of the epidemiology, diagnosis, and surgical treatment of patients with thoracoabdominal injuries. It shown that, current incidence of thoracoabdominal injuries is reached to 13.7-16.4% of all chest and abdominal injuries. Lethality inthoracoabdominal injuries range from 3.13% to 20%. In most cases these are patients of working age, with an average age of 27.5-34.8 years, men to comprise (71.2%). Nowadays, the amount of patients with thoracoabdominal injuries tends to increase in the Uzbekistan and other economically developing countries of the world because of raising of transportation, construction and crime. Video-thoracoscopy and video-laparoscopy are one of the widespread methods of diagnosing and treatment of thoracoabdominal traumas. According to many authors, specificity of video-laparoscopy and video-thoracoscopy is 100%, the sensitivity is 87.5–99.3%, and the predictive efficiency is 96.8 percent and the need for widespread use for performing minimally invasive medical manipulations as a reasonable alternative to open operations, indications for emergency and urgent thoracotomy and laparotomy, some new methods of operative surgical technique are proposed. However, in case of profuse bleeding into the pleural or abdominal cavity is indication to thoracotomy and laparotomy. Therefore researchers continue to search for promising ways to improve outcomes for patients with thoracoabdominal injuries. Researchers define rapid and accurate diagnostics aimed primarily at determining the volume of injuries of the chest, abdomen and diaphragm with subsequent selection of the best sequence of therapeutic measures.
    VL  - 10
    IS  - 4
    ER  - 

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Author Information
  • Department of General Surgery and Anesthesiology-resuscitation, Andijan State Medical Institute, Andijan, Uzbekistan

  • Department of General Surgery and Anesthesiology-resuscitation, Andijan State Medical Institute, Andijan, Uzbekistan

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