[Wounds of the abdomen and pelvis with damage to the major vessels].

The results of treatment of 144 patients with major vessels injuries in abdomen and pelvis injuries are performed. They had injuries of 146 vessels and of 220 abdominal organs. Mean blood loss was 2620 ml. 39 persons died (27.1%). The main lethality causes: haemorrhagic shock, late admission to the hospital, non-adequate angiosurgical service. The most characteristic errors in polytrauma: nonremoved major vessels injuries in laparotomy, unsuccessful attempts to stop bleeding and nonprofessional placing of a vascular suture, wrong sequence of operative instruments, defects of surgical service organization.