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The first is controlling hemorrhage followed by contamination control, abdominal packing, and placement of a temporary closure device. [5] Minimizing the length of time spent in this phase is essential. For groups (i.e., trauma centers) to be effective in damage control surgery, a multi-disciplinary team is critical.
In the ABTAC study, 280 trauma and surgical patients who required temporary abdominal closure (TAC) following a damage control laparotomy or treatment of either intra-abdominal hypertension or ...
The Wittmann Patch is a temporary abdominal fascia prosthesis for the planned open abdomen to ease the management of cases where the abdomen cannot be closed due to abdominal compartment syndrome or because multiple further operations are planned (damage control repair [DCR]).
Severe hemorrhage is managed either with vascular embolization or damage control surgical techniques such as abdominal packing or removal of non-essential organs. [2] However, in patients with severe hemorrhagic shock at risk for cardiovascular collapse, emergency thoracotomy with aortic cross clamping may be performed though outcomes are ...
The trauma triad of death is a medical term describing the combination of hypothermia, acidosis, and coagulopathy. [1] This combination is commonly seen in patients who have sustained severe traumatic injuries and results in a significant rise in the mortality rate. [2]
An exploratory laparotomy is a general surgical operation where the abdomen is opened and the abdominal organs are examined for injury or disease. It is the standard of care in various blunt and penetrating trauma situations in which there may be life-threatening internal injuries.
This procedure is performed when intra-abdominal bleeding (hemoperitoneum), usually secondary to trauma, is suspected. [2]In a hemodynamically unstable patient with high-risk mechanism of injury, peritoneal lavage is a means of rapidly diagnosing intra-abdominal injury requiring laparotomy, but has largely been replaced in trauma care by the use of a focused assessment with sonography for ...
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