FIELD: medicine, surgery, traumatology.
SUBSTANCE: videolaparoscopy should be carried out in patients with traumatic splenic rupture to establish the character of splenic lesion and blood loss value. Then one should coagulate and suture splenic rupture at hemorrhage stoppage, dissect gastro-colonic ligament, isolate and clip the trunk of splenic artery in initial suprapancreatic department being distally against rear pancreatic artery, and at control for splenic contraction by 15-20%, saved peripheral circulation, splenic color one should finish operation by draining abdominal cavity through trocar accesses. The present innovation enables to achieve decreased operational trauma, postoperational complications and duration of rehabilitation in operated patients.
EFFECT: higher efficiency of operation.
14 dwg, 2 ex
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