General concepts of surgical treatment of severe XXXX .

@entity1 @entity1230 @entity66 @entity130
This article is based on an investigation of the management of 1976 @entity1 with @entity66 . Three hundred twenty-five @entity1 with @entity1230 and 981 @entity1 with @entity130 were studied. The surgical treatment of severe @entity66 is based on 3 main concepts. The first concept is the substantiated widening of the score of indications for surgical treatment of @entity130 . Surgical treatment is done in 68.9% of @entity1 with @entity66 . Indications for surgical intervention (according to their significance) can be categorized as emergency, urgent, postponed, and planned operations; these were 59%, 17.2%, 23.5%, and 11.3%, respectively, of total surgical procedures. The second concept is assessment of the clinical state of injured @entity1 by means of the BIIX-CI scale, which was developed to define a reasonable time for doing a surgical procedure and to define vital function stability. The 3 levels of clinical state are graded as compensated (range, 16-30 points), subcompensated (range, 31-40 points), and decompensated (> 40 points). The third concept is the reasonable succession in surgical procedures. It is advantageous to do similar operations simultaneously at compensated and subcompensated states. Dissimilar surgical interventions should be done in succession during the course of a single anesthesia or at different times according to the grading of emergency (urgent, postponed, and planned).
