A.G. KHASANOV¹, R.M. MATIGULLIN², A.M. MENSHIKOV¹, A.F. BADRETDINOV¹

¹Bashkir State Medical University, 3 Lenin St., Ufa, Russian Federation, 450000^,

²City Clinical Hospital № 8, 1 40 let Oktyabrya St., Ufa, Russian Federation, 450112

Surgical approach in case of dodecadactylon wounds

Khasanov A.G. — D. Med. Sc., Professor, Head of the Department of Surgical Pathologies, tel. +7-927-310-01-06, e-mail: hasanovag@mail.ru¹

Matigullin R.M. — Cand. Med. Sc., Head of Surgical Department, tel. +7-917-481-09-64, e-mail: danis.com@yandex.ru²

Menshikov A.M. — Cand. Med. Sc., Associate Professor of the Department of Surgical Pathologies, tel. +7-937-330-05-10, e-mail: ildars74@mail.ru¹

Badretdinov A.F. — Cand. Med. Sc., Associate Professor of the Department of Surgical Pathologies, tel. +7-917-401-43-62, e-mail: fbadretdinova@mail.ru¹

The article gives the results of surgical treatment of 50 patients with injuries of dodecadactylon. Depending on the damage degree of the intestine and hospitalisation terms, the differential surgical tactics is applied. In case of I-II open injuries of the duodenum and hospitalization term up to 6 hours, bowel wound is closed with double seam with nasogastroduodenal decompression.

At later stages of hospitalization was performed wound closure, disabling the dodecadactylon by ligation of the pyloric sphincter with nylon suture followed by the imposition of gastroenteroanastomosis, drainage of bile passages, subhepatic and retroperitoneal space. In case of damages of the III degree there was made elimination of dodecadactylon from digestion by diverticulization in combination with drainage operations on bile passages. In case of open injuries of IV-V degree of the bowel wall there is made a complete shutdown of the dodecadactylon from digestion by performing Donovan — Hagen. In the postoperative period, 16 patients suffered from complications, postoperative mortality was 16%.

Key words: dodecadactylon, wounds, surgical tactics, results.

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