[Ways of improving treatment of patients with abdominal gunshot wounds]

Results of relaparotomies in 219 wounded with gunshot abdominal wounds got in local wars were analyzed. The main causes of relaparotomies were diagnostical, tactical and technical errors made during primary operations. The final outcome of the treatment depends upon the terms and volume of reoperations. Favourable results were frequent often in performing the programmed sanitation of the abdominal cavity which should be fulfilled in cases of diffuse peritonitis. The elaborated method of early diagnosis of postoperative complications, use of programmed sanitation of the abdominal cavity and restricted volume of reoperations allowed the frequency of relaparotomies to be decreased from 14.8 to 12.1% and lethality after them from 53.2 to 25%.