SURGICAL TACTICS FOR COMBINED INJURIES OF THE RETROPERITONEAL REGION IN CHILDREN

Abstract

The aim of the study was to evaluate the types of surgical interventions, their results, and the feasibility of their use in combined retroperitoneal injuries in children. A total of 64 clinical cases were analyzed using a combination of instrumental diagnostic methods and differentiated surgical approaches. Surgical interventions were performed in 22 patients (34.3%). The most common operation was lumbotomy with suturing of the renal rupture (21.9%). The use of organ-preserving technologies allowed preserving renal function in 82.5% of children. The developed algorithm for selecting a surgery reduced the incidence of complications and improved functional outcomes. An individualized approach based on modern imaging techniques and injury severity assessment optimizes surgical tactics in this category of patients.