NOT OPERATIVE TREATMENT OF SPLEEN DAMAGE AT THE СLOSED TRAUMA OF ABDOMEN IN TRAUMA СENTER 1-ST LEVEL
For the diagnosis of closed abdominal trauma, accompanied by damage to internal organs, at the Department of Military surgery, since 2014, a differentiated diagnostic and treatment algorithm, which is a Department development, has been successfully used. During the diagnostic stage, the degree of damage to the spleen is determined and further tactics of treatment and management of patients is determined. The article analyzes the results of examination and treatment of 62 patients with damage to the spleen with closed abdominal trauma who were treated in the clinic of military surgery from 2004 to 2007 and 2014-2018. The most common causes of injuries of the spleen were Calatrava (drop) of the 28 cases (45,1%), Autorama (RTA) 22 patients (35,5%), home accident victims 8 (12,9%), and trauma for the production of 4 patients (6.5 percent). This files most often revealed damage to the spleen-1st grade (34,6%), 2nd (22,1%), 3rd (19.2 per cent) and 4th (15.4 per cent), damaged on the 5th degree was observed only in 7.7% of patients.