[Principles of modern treatment of abdominal gun-shot wounds]

The results of treatment of 629 injured persons with abdominal gun-shot woundings in conditions of the first-line hospital, were summarized. The abdominal gun-shot woundings hold the fourth place after woundings of the extremities, thoracic and the head woundings, co stituting 9.6% in the structure of all the gun-shot woundings. In 64.55% of observations the woundings were isolated and in 35.45%--combined and multiple. In 2.06% of the observations in nonpenetrating wounding the internal organs injury was noted, as a result of a "side shot" of the gun-shot weapon. The abdominal hollow organs wounding was revealed in 64.99% observations, of parenchymatous organs--in 35.01%. In all the patients with penetrating wounding laparotomy was performed using median incision. The operative intervention volume had depended on character of the organs injury. In 15.9% observations postoperative complications had occurred. Lethality was 6.51%, 76.95% of the wounded persons were evacuated into the aryerguard hospital base. After complex treatment in 76.47% wounded persons the fighting efficiency was restored, they were readministered into an active profession and in 15.9% the disability was established.