149 -2 (88) 2026 - Mustafaqulov I.B., Norov M.Ch. - SURGICAL TACTICS FOR COMBINED CHEST AND ABDOMINAL WOUNDS IN THE PREVENTION OF POSTOPERATIVE BRONCHOPULMONARY COMPLICATIONS

SURGICAL TACTICS FOR COMBINED CHEST AND ABDOMINAL WOUNDS IN THE PREVENTION OF POSTOPERATIVE BRONCHOPULMONARY COMPLICATIONS

Mustafaqulov I.B. - Samarkand State Medical University, Center for the Development of Professional Qualifications of Medical Workers

Norov M.Ch. - Samarkand State Medical University, Center for the Development of Professional Qualifications of Medical Workers

Makhamadaminov A.G. - Samarkand State Medical University, Center for the Development of Professional Qualifications of Medical Workers

Juraeva Z.A. - Samarkand State Medical University, Center for the Development of Professional Qualifications of Medical Workers

Resume

Combined thoracoabdominal injuries represent one of the most severe forms of trauma and are associated with high mortality and a substantial incidence of postoperative complications. Bronchopulmonary complications—including atelectasis, pneumonia, acute respiratory distress syndrome, and ventilator-associated pneumonia—play a leading role in adverse outcomes. A significant proportion of deaths is related not to injuries incompatible with life but to tactical errors, diagnostic delays, and insufficient prevention of respiratory complications. This narrative review analyzes current concepts of the pathophysiological mechanisms underlying bronchopulmonary complications in combined thoracoabdominal trauma and examines the evolution of surgical tactics and choice of operative approach from a preventive perspective. Particular attention is paid to diaphragmatic injuries, the implementation of minimally invasive techniques, and the role of ventilator-associated pneumonia as a major determinant of postoperative morbidity. Modern strategies for the prevention of bronchopulmonary complications based on the integration of surgical and intensive care approaches and early risk stratification are discussed.

Keywords: combined trauma; thoracoabdominal injuries; surgical tactics; bronchopulmonary complications; mechanical ventilation; ventilator-associated pneumonia.

First page

797

Last page

802

For citation:Mustafaqulov I.B., Norov M.Ch., Makhamadaminov A.G., Juraeva Z.A. - SURGICAL TACTICS FOR COMBINED CHEST AND ABDOMINAL WOUNDS IN THE PREVENTION OF POSTOPERATIVE BRONCHOPULMONARY COMPLICATIONS//New Day in Medicine 2(88)2026 797-802 https://newdayworldmedicine.com/en/new_day_medicine/2-88-2026

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