Stomach Injury in Multiple and Polytrauma

Mustafakulov I. B. MD.^1,

¹Samarkand State Medical Institute, Surgery department of RSCUMA, Samarkand, Uzbekistan

Cite this paper:
Mustafakulov I. B. MD.. Stomach Injury in Multiple and Polytrauma. American Journal of Medical Case Reports. 2014; 2(7):133-135. doi: 10.12691/ajmcr-2-7-1

Abstract

Stomach injury is one of the most severe types of injuries and among severe injuries of piece abdominal injuries makes 25%. Post traumatic stomach ruptures make 1% of abdominal injuries in isolated abdominal traumas and up to 6% in combined. During 1999-2012 periods we have analyzed 57 observations, of them 12 isolated and 45 combined gastric injuries. Injuries of anterior gastric wall were revealed in 42 patients, of posterior wall in 4 persons with thoracoabdominal wounds and of both walls in 11 patients. Study proved some different surgical treatment tactics of stomach injury have been presented. Complications in the postoperative period developed in 9 (15, 8%) patients with ruptures in all layers of the stomach. Relaparatomy became necessary in 5 patients due to the following indications: ileus (2), pancreatitis (1), bleeding to gastric lumen (1) insolvency of stomach wound sutures. 3 of 5 reoperative patients died, all of them had combined traumas; 2 mortality of shock and blood loss, 1 from pancreatitis and peritonitis. An adequate intervention volume in gastric injuries appears to be two-layer suturing of the wound with previous ligating of bleeding vessels and following decompression of the organ through nasogastral probe.

Keywords:
stomach injury different surgical treatment

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