SURGICAL TREATMENT OF CLOSED ABDOMINAL INJURIES

Abstract

A total of 320 patients with blunt abdominal trauma (BAT) who had stable hemodynamics before abdominal surgery were selected for the retrospective analysis. Free fluid in the abdominal cavity is one of the most reliable ultrasound signs in the diagnosis of intra-abdominal injuries. Ultrasound examination of fluid showed high sensitivity of 88.3%, specificity of 87.8% and accuracy of 88.1%, respectively. The proposed method for assessing the volume of free fluid, based on measuring its layer and distribution in different areas of the abdominal cavity, does not complicate or increase the time of the FAST protocol. This method helps to determine the critical volumes of hemoperitoneum, which is an important factor in choosing a surgical intervention for patients with chronic rheumatoid arthritis (BAT).