Korabel'nikov A I
Khirurgiia (Mosk). 1990 Sep(9):50-3.
From analysis of 542 abdominal injuries the author established that 37.9% of penetrating injuries are not accompanied with damage to the viscera. Diagnostic laparoscopy allows useless laparotomy to be avoided in these patients. The techniques of the intestinal suture and anastomosis are very important. The author suggests modification of intestinal sutures and ++inter-intestinal anastomosis. The inclusion of retroperitoneal blockade in the complex of rehabilitation measures proved effective in the prevention of pareses in 98.5% of patients. The use of diagnostic laparotomy, the choice of rational intestinal sutures and ++inter-intestinal anastomosis, and the use of retroperitoneal blockade in rehabilitation of patients together with early activation of patients are conducive to improvement of the results of treatment.
通过对542例腹部损伤的分析，作者发现37.9%的穿透性损伤未伴有内脏损伤。诊断性腹腔镜检查可避免对这些患者进行不必要的剖腹手术。肠缝合和吻合技术非常重要。作者建议对肠缝合和++肠内吻合进行改进。在康复措施中加入腹膜后阻滞被证明对98.5%的患者预防麻痹有效。使用诊断性剖腹手术、选择合理的肠缝合和++肠内吻合，以及在患者康复中使用腹膜后阻滞并尽早让患者活动，有助于提高治疗效果。
