In 91 injured persons, suffering severe closed combined abdominal
trauma, the staged surgical treatment was conducted, in 41 of them the operation was performed during one
narcosis, but with surgical pause after
temporary stopping of
hemorrhage, in 50 the "damage control surgery" was applied. Unstable critical state of the injured persons, "unfavorable" prognosis of course of an acute period of the traumatic disease served as indications for the staged surgical treatment conduction. While the urgent
laparotomy performance the surgical manipulations were conducted in minimal volume, surgical pause was applied with the patient's state reestimation. Operative intervention was restarted when a stable hemodynamics and the homeostasis indices improvement were achieved. Middle value of surgical pause have constituted (94.5 +/- 7.2) min. In 50 injured persons, regardless of the
hemorrhage stopping and stabilization of systolic arterial pressure, the hemostasis indices were disordered, they were admitted to department of reanimation and intensive
therapy with consequent conduction of programmed relaparotomy (the technology of "damage control surgery"). Application of differentiated staged surgical treatment in the injured persons, suffering severe closed combined abdominal
trauma, have permitted to reduce the occurrence rate of decompensated
shock--by 6.4%, the syndrome of
disseminated intravascular coagulation--up to 1%, polyorgan insufficiency--up to 7.1%, general lethality--by 9.5%.