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[Treatment and diagnostic policy in gunshot wounds of the pancreas]
E A Voĭnovskiĭ1, M M Abakumov, A Iu Vasil'ev
1Meditsinskoe upravlenie MVD RF, Glavnyĭ klinicheskiĭ gospital' MVD RF, NII skoroĭ pomoshchi im. N. V. Sklifosovskogo, Moscow.
Abstract:
Results of treatment of 71 patients with gun-shot wounds of the pancreas were analyzed. Features and structure of gun-shot abdominal penetrating wounds with injury of the pancreas, potential of up-to-date diagnostic methods were studied. Surgical policy in combined injuries of hollow organs and pancreas was developed. Variants and sequence of surgeries were determined depending on location and types of pancreatic injuries. Proposed treatment and diagnostic policy permitted to reduce rate of purulent and septic complications by 11.1% and lethality by 5.3%.
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