One-stage operations for multiple and associated trauma

Abstract

The question of the performance of one step operation in patients with concomitant and multiple trauma from the point of view of the choice of surgical intervention time, sequence and type of operation is considered. The advantages of one step operation include: one narcosis, one postoperative period, decrease of the risk of posttraumatic and postoperative complications, easing of treatment and nursing at intensive care unit as well as earlier rehabilitation. Criteria for the detection of the surgery time, sequence and type of operative intervention for individual patient with polytrauma were elaborated. Between 1998 and 2002, 282 one-step operations (71 emergency operations (within 5 hours after trauma), 135 urgent operations (within the first 3 days after trauma) and 76 delayed operations (within 10-14 days after trauma)) were performed at Moscow clinical Hospital #1 named after IV. I. Pirogov.