Abdominal and thoracic wall closure: damage control surgery's cinderella / El cierre de la pared abdominal y torácica: La cenicienta en la cirugía control de daños
Colomb. med
; 52(2): e4144777, Apr.-June 2021. tab, graf
Article
em En
|
LILACS-Express
| LILACS
| ID: biblio-1339732
Biblioteca responsável:
CO304.1
ABSTRACT
Abstract Damage control surgery principles allow delayed management of traumatic lesions and early metabolic resuscitation by performing abbreviated procedures and prompt resuscitation maneuvers in severely injured trauma patients. However, the initial physiological response to trauma and surgery, along with the hemostatic resuscitation efforts, causes important side effects on intracavitary organs such as tissue edema, increased cavity pressure, and hemodynamic collapse. Consequently, different techniques have been developed over the years for a delayed cavity closure. Nonetheless, the optimal management of abdominal and thoracic surgical closure remains controversial. This article aims to describe the indications and surgical techniques for delayed abdominal or thoracic closure following damage control surgery in severely injured trauma patients, based on the experience obtained by the Trauma and Emergency Surgery Group (CTE) of Cali, Colombia. We recommend negative pressure dressing as the gold standard technique for delayed cavity closure, associated with higher wall closure success rates and lower complication and mortality rates.
Texto completo:
1
Base de dados:
LILACS
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article