Kazan medical journalKazan medical journal0368-48142587-9359Eco-Vector186110.17816/KMJ1861Research ArticleWays of improving surgical tactics in the treatment of victims of motor vehicle accidents with combined mechanical traumaMustafinR Rrai-mustafin@yandex.ruIsaevaI V-AnisimovA Yu-Kazan State Medical Academy, Kazan, RussiaCity Hospital of Emergent Medical Care №1, Kazan, RussiaRepublican Clinical Hospital, Kazan, Russia1506201293343443828032016Copyright © 2012, Mustafin R.R., Isaeva I.V., Anisimov A.Y.2012Aim. To study the effectiveness of the surgical tactic «Damage control» in providing medical care to victims of motor vehicle accidents with associated mechanical injuries of various locations. Methods. 85 victims of motor vehicle accidents with associated mechanical injuries of various locations from 2006 to 2010 were the subjects of the clinical study. Depending on the surgical approach, which was chosen on the basis of assessment of the severity of the condition and injuries, the patients were divided into two groups. The first (main) group included 35 (41.2%) victims, in whom the stepwise tactic of trauma elimination «Damage control» was used. The second (comparison) group consisted of 50 (58.8%) patients, in whom the traditional tactic of simultaneous treatment of all lesions during the surgical intervention was applied. An analysis of the dynamics of clinical indicators, incidence of complication development and mortality was conducted depending on the chosen surgical treatment tactic. Results. The overall incidence of complications in the early postoperative period in the first group was lower by 38.0% and the mortality - by 7.7%. Conclusion. The use of the «Damage control» surgical tactic is effective in the complex treatment of victims of motor vehicle accidents with associated mechanical trauma.«Damage control»motor vehicle accidenthospital period«Damage control»дорожно-транспортное происшествиегоспитальный период[Гуманенко Е.К. Военно-полевая хирургия. 2-е изд. - М.: ГЭОТАР-Медиа, 2008. - 768 с.][Соколов В.А. «Damage control» - современная концепция лечения пострадавших с критической политравмой // Вестн. травматол. и ортопед. - 2005. - №1. - С. 81-84.][Sugrue M., D’Amours S.K., Joshipura M. Injury // Int. J. Care Injured. - 2004 - Vol. 35. - Р. 642-648.][The Global Burden of Disease: 2004 update. Geneva, World Health Organization, 2008. URL: http://www.who.int/healthinfo/global_burden_disease/GBD_report_2004 update_AnnexA.pdf, accessed 7 April 2009 (дата обращения: 09.09.11).][World health statistics 2008. Geneva, World Health Organization, 2008 URL: http://www.who.int/whosis/whostat/2008/ en/index.htm, accessed 7 April 2009 (дата обращения: 09.09.11).]