Research output: Contribution to journal › Article › peer-review
Методологические аспекты хирургической тактики у пострадавших с тяжелой сочетанной черепно-лицевой травмой с учетом тяжести травматической болезни. / Shcherbuk, Iu A.; Madaĭ, D. Iu; Gavrilin, S. V.; Shcherbok, A. Iu; Absava, K. A.; Madaĭ, O. D.
In: ВЕСТНИК ХИРУРГИИ ИМ. И.И. ГРЕКОВА, Vol. 173, No. 3, 2014, p. 49-54.Research output: Contribution to journal › Article › peer-review
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TY - JOUR
T1 - Методологические аспекты хирургической тактики у пострадавших с тяжелой сочетанной черепно-лицевой травмой с учетом тяжести травматической болезни
AU - Shcherbuk, Iu A.
AU - Madaĭ, D. Iu
AU - Gavrilin, S. V.
AU - Shcherbok, A. Iu
AU - Absava, K. A.
AU - Madaĭ, O. D.
PY - 2014
Y1 - 2014
N2 - It is important to improve the medical care system and treatment of victims, introduce new methods of treatment and attract the multidisciplinary specialists in the cases of multitrauma. An integrated approach is required for the identification of different character and severity of multiple craniofacial injuries and the development of rational surgical strategy on this base. Different scales such as AIS, CRIS, ISS, PTS, TRISS, TRISSCAN, CRAMS et.al, were created abroad. Another approach to medical strategy was developed in the department of military surgery of Kirov Military Academy in the late nineties. It was based on investigating of possibilities of surgical strategy optimization by application of objective evaluation of the severity of injuries (military surgery--SP, SG, SS). Given treatment strategy of victims with multiple craniofacial trauma resulted in double reduction of quantity of suppurative and septic complications (from 10.5% to 4.1%). It gave the possibility to reduce the lethality from 6.4% to 4.0%. At the same time a hospital stay was shortened and the strategy allowed obtaining satisfactory functional results of treatment and avoiding reinterventions for removal of posttraumatic facial deformations.
AB - It is important to improve the medical care system and treatment of victims, introduce new methods of treatment and attract the multidisciplinary specialists in the cases of multitrauma. An integrated approach is required for the identification of different character and severity of multiple craniofacial injuries and the development of rational surgical strategy on this base. Different scales such as AIS, CRIS, ISS, PTS, TRISS, TRISSCAN, CRAMS et.al, were created abroad. Another approach to medical strategy was developed in the department of military surgery of Kirov Military Academy in the late nineties. It was based on investigating of possibilities of surgical strategy optimization by application of objective evaluation of the severity of injuries (military surgery--SP, SG, SS). Given treatment strategy of victims with multiple craniofacial trauma resulted in double reduction of quantity of suppurative and septic complications (from 10.5% to 4.1%). It gave the possibility to reduce the lethality from 6.4% to 4.0%. At the same time a hospital stay was shortened and the strategy allowed obtaining satisfactory functional results of treatment and avoiding reinterventions for removal of posttraumatic facial deformations.
UR - http://www.scopus.com/inward/record.url?scp=84925884037&partnerID=8YFLogxK
M3 - статья
C2 - 25306636
VL - 173
SP - 49
EP - 54
JO - ВЕСТНИК ХИРУРГИИ ИМ. И.И. ГРЕКОВА
JF - ВЕСТНИК ХИРУРГИИ ИМ. И.И. ГРЕКОВА
SN - 0042-4625
IS - 3
ER -
ID: 5830296