OPTIMIZATION OF SURGICAL TREATMENT IN CASE OF CLOSED INJURIES OF THE LIVER, SPLEEN AND PANCREAS IN CHILDREN

Abstract

Recently, closed abdominal trauma (CAT) occurs in every fifth victim
with combined trauma [4-10]. In surgical treatment of CAT, the operational activity
reaches 88%, which significantly exceeds the operational activity in combined trauma
of the limbs, pelvis, chest and traumatic brain injury. The article summarizes the
results of examination and treatment of 128 children with injuries to the parenchymal
organs of the abdominal cavity aged from 1.5 to 15 years, who were undergoing
inpatient examination and treatment in the pediatric emergency surgery clinic of the
Republican Scientific Center for Emergency Medical Care for the period from 2015
2024. The research results allow us to conclude that in children with closed injuries to
the parenchymal organs of the abdominal cavity, it is advisable to use minimally
invasive, endoscopic, organ-preserving interventions.