Optimization of surgical tactics of combined multiple and combined abdominal injuries in children

Injuries rank third in the world among the causes of death, and among young people in the structure of mortality - the first place. The literature data of recent years show that the share of concomitant trauma in the structure of trauma is 30-70%, and in the structure of closed concomitant trauma of the abdominal organs - within 10.2-36.4%. The combination of abdominal injuries is the most dangerous, since, mutually burdening each other, are accompanied by a large number of complications, a high mortality rate and disability. Mortality among victims with multiple concomitant trauma of the abdominal organs, according to various sources, reaches 85% and is mainly determined by the severity of anatomical injuries and the volume of blood loss.