[Injuries of the duodenum].
Based on an experience with treatment of 68 patients with injuries of the duodenum the authors have developed a diagnostic algorithm always permitting the diagnosis of injuries of the retroperitoneal part of the duodenum. A classification of severity of the duodenal injury was proposed determining the volume and type of surgery. Using the proposed therapeutic-diagnostic program decreased postoperative lethality from 52.4% to 11.8% in patients with wounds and from 60% to 13.4% in patients with closed injury of the duodenum.
Mikhaĭlov
A P
AP
Sigua
B V
BV
Danilov
A M
AM
Napalkov
A N
AN
D000007:Abdominal Injuries / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D003937:Diagnosis, Differential; D004386:Duodenum / Q000293:injuries*; D005500:Follow-Up Studies; D006801:Humans; D015994:Incidence; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000175:diagnosis / Q000453:epidemiology; D011379:Prognosis; D011860:Radiography, Abdominal / Q000379:methods*; D012189:Retrospective Studies; D012421:Rupture; D012426:Russia / Q000453:epidemiology; D015996:Survival Rate; D015599:Trauma Severity Indices; D014949:Wounds, Nonpenetrating / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery; D014950:Wounds, Penetrating / Q000175:diagnosis / Q000453:epidemiology / Q000601:surgery