The management of the combined injuries of pelvis and lower urinary tracts treatment

Introduction. The analysis of the cure of 638 patients with pelvic injuries has been done. Combined injuries of urinary bladder and pelvis were diagnosed in 58 (9,1%) patients. Medical assistance for those patients was done according to the worked-out standards of our hospital. Material and methods. 20 (34%) patients were performed laparotomy with inspection of abdominal cavity organs and closuring of urinary bladder’s rupture with extraperitonization and epycystomy. In other 38 (66%) cases the patients were done extra-peritoneal closure of urinary bladder’s wall with epycystomy. 32 (55,2%) patients with combined injuries of urinary bladder and pelvis were performed the operative interventions – osteosynthesis of pelvic bones. 24 (20%) patients had also the fractures of extremity bones and they were done 29 operative interventions. Results. At the non-stable injuries of pelvic ring we have worked-out and applied into clinical practice the small-invasive method of stabilizing operations on the base of device of external fixation. Conclusions. This method was applied in 190 (29,8%) patients. The worked-out treatment tactics of patients with pelvic bones fractures at the isolated and combined type allowed to get the positive out-come in 91,9% of cases at the decreasing mortality till 5,6%.