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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" article-type="research-article" dtd-version="1.1d1" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher">Problems of Social Hygiene, Public Health and History of Medicine</journal-id><journal-title-group><journal-title>Problems of Social Hygiene, Public Health and History of Medicine</journal-title></journal-title-group><issn publication-format="print">0869-866X</issn><issn publication-format="electronic">2412-2106</issn><publisher><publisher-name>Joint-Stock Company Chicot</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1039</article-id><article-id pub-id-type="doi">10.32687/0869-866X-2022-30-s1-937-942</article-id><article-categories><subj-group subj-group-type="heading"><subject>Научная статья</subject></subj-group></article-categories><title-group><article-title>EVOLUTION OF APPROACHES IN THE TREATMENT OF CLOSED INJURY OF THE LIVER AND SPLEEN</article-title></title-group><contrib-group><contrib contrib-type="author"><name name-style="western"><surname>Ageeva</surname><given-names>A. A.</given-names></name><bio></bio><email>ageevaaa1@zdrav.mos.ru</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Maer</surname><given-names>R. Yu.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Grekov</surname><given-names>D. N.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Shikov</surname><given-names>D. V.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-2"/></contrib><contrib contrib-type="author"><name name-style="western"><surname>Huseynov</surname><given-names>A. A.</given-names></name><bio></bio><email>-</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff id="aff-1">Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department</aff><aff id="aff-2">Botkin Hospital</aff><pub-date date-type="epub" iso-8601-date="2022-11-15" publication-format="electronic"><day>15</day><month>11</month><year>2022</year></pub-date><volume>30</volume><issue>s1</issue><fpage>937</fpage><lpage>942</lpage><history><pub-date date-type="received" iso-8601-date="2022-11-17"><day>17</day><month>11</month><year>2022</year></pub-date></history><permissions><copyright-statement>Copyright © 2022,</copyright-statement><copyright-year>2022</copyright-year></permissions><abstract>The article analyzes the main aspects of the development of various approaches and methods in the provision of medical care to patients with closed abdominal trauma with damage to the liver and spleen. The most important stages of improving approaches, the impact of scientific and technological progress on the introduction of modern technologies in this area of surgery are described. The modern views of various authors on the existing problem are considered.</abstract><kwd-group xml:lang="en"><kwd>closed liver injury</kwd><kwd>closed injury of the spleen</kwd><kwd>surgical intervention</kwd><kwd>non-operative management</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>закрытая травма печени</kwd><kwd>закрытая травма селезёнки</kwd><kwd>оперативное вмешательство</kwd><kwd>безоперационное лечение</kwd></kwd-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Sauaia A., Moore F. A., Moore E. E. et al. Epidemiology of trauma deaths: a reassessment //j. Trauma. 1995. Vol. 38. P. 185-193. DOI: 10.1097/00005373-199502000-00006</mixed-citation></ref><ref id="B2"><label>2.</label><mixed-citation>Zwingmann J., Schmal H., Sudkamp N. 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