Management for Closed Injuries of the Duodenum

Relevance Among closed injuries of the abdominal cavity trauma duodenum (KDP) holds a special place due to the rare, large traumatic severe complications in 50-70% of operated patients. To date, there is a high mortality rate (30 to 60%) due to develop complications and failure at the seams or phlegmon - up to 100%. The purpose of the study The aim of the study was choice of the method of surgical treatment and analysis results of surgical treatment in patients with closed trauma of the KDP. Materials and methods The paper analyzes results of treatment 35 patients with a closed duodenal injury. The most common cause of damage KDP was closed to road traffic injury (17 pers. - 48.6%), resulting in katatravmy in 6 (17.1%) patients. In 5 (14.3%) patients injury was received in the workplace, in 1 - sports injury in 6 - home injury. Results and their discussion Depending on the timing of the victims to the hospital after the injury, the size of the defect duodenal wall, level of injury, associated injuries pancreatoduodenal zone defines the principles of surgical treatment for injuries of the duodenum. For the prevention and treatment of retroperitoneal phlegmon used 5% glucose solution ozonated, which reduced the number of complications from 52.3% in the control group to 33.3% - in the main group and reduced the risk of an adverse outcome, ie, reduce mortality C60% to 33.3%. Conclusion 1. The volume of surgery at closed duodenal injury must be selected individually, depending on the severity of the injury and status of victim. 2. In the postoperative period is mandatory drug suppression of secretion digestive tract and the appointment of broad-spectrum antibiotics against background of infusion-transfusion therapy. Key words Closed duodenal trauma, surgical technique, complications, mortality