General Metadata
Title
Procena uspeha konzervativnog lečenja zatvorenih povreda solidnih abdominalnih organa kod dece
Creator
Đorđević, Ivona M. 1974.
Copyright date
2016
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Autorstvo-Nekomercijalno-Bez prerade 3.0 Srbija (CC BY-NC-ND 3.0)
License description
Dozvoljavate samo preuzimanje i distribuciju dela, ako/dok se pravilno naznačava ime autora, bez ikakvih promena dela i bez prava komercijalnog korišćenja dela. Ova licenca je najstroža CC licenca. Osnovni opis Licence: http://creativecommons.org/licenses/by-nc-nd/3.0/rs/deed.sr_LATN. Sadržaj ugovora u celini: http://creativecommons.org/licenses/by-nc-nd/3.0/rs/legalcode.sr-Latn
Language
Serbian
Cobiss-ID
1025528813
Academic metadata
Theses Type
Doktorska disertacija
description
Datum odbrane: 06.05.2016.
Other responsibilities
mentor
Marjanović, Zoran
član komisije
Slavković, Anđelka
član komisije
Radovanović, Zoran
član komisije
Grebeldinger, Slobodan
član komisije
Živanović, Dragoljub
Academic Expertise
Medicinske nauke
University
Univerzitet u Nišu
Faculty
Medicinski fakultet
Group
Katedra za hirurgiju
Other Theses Metadata
Abstract (en)
Abdominal trauma is the cause of difficult injuries in children and the most common area of initially missed diagnosis, which often leads to a fatal outcome. Implementation of conservative (non-operative) treatment in all clinical and hemodynamically stable patients regardless of the severity of the violation is considered to be the best therapeutic concept The aim of the thesis was to analyze the effectiveness of nonoperative treatment in patients with documented isolated injury of solid abdominal organs and creates a uniquefollow up protocol for each organ to examine the incidence of complications and accompanied morphofunctional changes of injured organs. The methodological procedure is based on a comparative prospective study which analyzes the 46 patients under the age of 18 years treated from 1.1.2011. to 31.12.2014. year with the implementation of follow up protocol in posttraumatic period. The results clearly show that the success of nonoperative treatment is large, up to 93.75%, with a very low complication rate (6.25%) that require surgical treatment. It has been demonstrated that the hemodynamic and clinical stability are crucial parameter that determines the application of non-operative treatment regardless of the severity of the injury of solid of abdominal organs. In the period after trauma is necessary to do the clinical examination continuosly in order to follow morphofunctional changes and the possible complications. The results show that complications occur most often in the early period of time after the trauma more often in severe injuries of the pancreas and kidney. We conclude that in all hemodynamically stable patients should favor minimally invasive therapeutic approach-nonoperative treatment, which requires continuous monitoring and individual therapeutic approach that should be based on knowledge of basic physiological principles of functioning of the young patient.