POSSIBILITIES OF MINIMALLY INVASIVE METHODS OF DIAGNOSIS AND TREATMENT FOR CLOSED ABDOMINAL INJURIES

In this article, the study of the diagnostic effectiveness of ultrasound examination (ultrasound) in identifying signs of damage to the abdominal organs and a detailed description of the ultrasound semiotics of closed abdominal trauma (CAT). Purpose. The study of the diagnostic effectiveness of sonography in identifying signs of damage to the abdominal cavity organs and a detailed description of the ultrasound semiotics of BAT. Material and methods. Ultrasound was performed in 160 patients with blunt abdominal trauma as an initial method for diagnosing intra-abdominal injuries and was performed in the emergency department immediately upon admission to the clinic. Conclusin. Among the diverse sonographic semiotics of intraperitoneal injuries in CAT, the presence of various volumes of free fluid in the abdominal cavity is the most constant ultrasound signs. The developed method of ultrasound assessment of the volume of free fluid in the abdominal cavity, based on taking into account the thickness of the fluid layer and its prevalence in the abdominal cavity zones, does not complicate or lengthen the FAST protocol procedure, allows to determine the critical volumes of hemoperitoneum, which are crucial in choosing the tactics of surgical treatment of CAT