The goal of the work. To analyze and improve the results of surgical treatment of gun wounds of the liver with the use of modern surgical methods at the levels of providing medical care to the wounded from the area of the joint forces operation.
Materials and methods. Clinical and statistical analysis of the results of treatment of 101 wounded with gunshot wounds of the liver, delivered from the first line of joint forces operation, of which 47 people were included in the control group (July 2014 — December 2015), 54 — to experimental (July 2016 — October 2019). In the general structure of combat abdominal trauma, liver injuries were reported in 19.2% of wounded in the area of the joint forces operation.
Results and Discussion. In combat abdominal trauma with combined injury of the liver, surgical management was directed in the following order: temporary stoppage of bleeding of the liver; intraoperative prevention of peritonitis, which was achieved by temporarily stopping the flow of the contents of the hollow organs into the abdominal cavity; definitive stop of bleeding; elimination of peritonitis source in compliance with the principles of damage control tactics and level treatment. Laparoscopic surgeries were performed of medical care for 25 injured (27.5%). Laparotomy (72.5%) was performed in 76 injured patients using mechanical, physical and chemical methods of stopping bleeding.
Conclusions. The use of modern techniques (video laparoscopy, interventional sonography) in the surgical treatment of inflammatory lesions of the liver allows to improve the results and to avoid unreasonable laparotomies.