Introduction. The close relationship of the results of injury treatment of the abdomen and the time and quality of surgical care, with the time and type of medical evacuation from different levels of care, creates great organizational difficulties, particularly in mass admission of injured.
Aim. To improve results of surgical treatment of wounded with combat abdominal injuries under the antiterrorist operation in the Donetsk and Lugansk regions of Ukraine.
Materials and methods. Analysis of surgical treatment of 35 injured from combat damages of abdomen on 0-II levels of care in the area of anti-terroristic operation. The base line (zero) level of care included emergency medical and first aid, first level — the measures of first medical care, the second level — qualified surgical assistance (second level involves elements of specialized assistance with proper specialists).
Conclusion. All of the injured regardless of the lesions localization were performed ultrasound for FAST-protocol. Results of treatment of the wounded in the stomach depends on the quality of the organization of medical evacuation process with the principle of the “golden hour”. Diagnostic program with a mandatory FAST-protocol avoids unwarranted invasive procedures and reduce time spent on diagnosis. On base of surgical treatment there should be the principle of a differentiated approach using “damage control” during medical evacuation.