EXTERNAL HEMATOMAS IN COVID-19 INFECTION
Journal: Journal of the Grodno State Medical University (Vol.20, No. 6)Publication Date: 2023-01-13
Authors : N. N. Iaskevich E. N. Yachnik L. F. Vasilchuk Y. F. Pakulnevich S. P. Antonenko V. A. Cherniy P. M. Lozhko N. L. Gavina;
Page : 655-660
Keywords : COVID-19 infection; anterior abdominal wall hematomas; breast hematomas; angiography; computed tomography; magnetic resonance imaging; lower epigastric artery; embolization; surgical treatment;
Abstract
Background. The course of COVID-19 is complicated by the formation of an external hematoma. The aim of the study was to improve the results of treatment of patients with external hematomas in COVID-19 infection based on the discovery of their source and the development of an algorithm for surgical tactics. Material and methods. The results of complex treatment of 14 patients with COVID-19 infection treated at the surgical departments of the Grodno University Clinic were analyzed. Results. Conservative administration was used in 3 (27.3%) people, opening of a hematoma with piercing hemostasis and external drainage - in 2 (18.2%), embolization of the lower epigastric opening - in 7 (63.4%). 10 (71.4%) patients were discharged for outpatient treatment. 4 (23.6%) people died from lung infections. Conclusions. The algorithm of surgical tactics in patients with hematomas of external localization due to COVID-19 infection requires the use of a comprehensive differentiated approach.
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Last modified: 2023-01-17 22:32:05