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[Abdominal "packing": indications and method].

F Stagnitti1, L Bresadola, S M Calderale

  • 1Istituto di Clinica Chirurgica d'Urgenza e di Pronto Soccorso, Università degli Studi di Roma "La Sapienza".

Annali Italiani Di Chirurgia
|May 14, 2004
PubMed
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Abdominal packing is a critical damage control surgery technique for severe trauma, offering a 70% median survival rate. This method effectively controls hemorrhage, outperforming immediate surgical repair in complex cases.

Area of Science:

  • Trauma Surgery
  • Surgical Hemorrhage Control
  • Damage Control Surgery

Context:

  • Abdominal packing is a vital temporizing measure for severe abdominal injuries.
  • It is integral to damage control surgery protocols for managing exsanguinating patients.
  • The technique involves applying pressure with abdominal packs to achieve hemostasis.

Purpose:

  • To review the indications, evolution, and outcomes of abdominal packing in trauma surgery.
  • To analyze the effectiveness of abdominal packing in controlling severe intra-abdominal hemorrhage.
  • To evaluate the associated risks and complications, including abdominal compartment syndrome.

Summary:

  • Abdominal packing is indicated for uncontrollable hemorrhage and metabolic derangements (hypothermia, acidosis, coagulopathy).

Related Experiment Videos

  • The review highlights a median survival rate of 70%, superior to immediate surgical repair.
  • Complications include bleeding (underpacking) and sepsis or MOF syndrome (overpacking/prolonged use).

    • Impact:

    • Abdominal packing significantly improves survival rates in critically injured patients with severe abdominal trauma.
    • Understanding optimal indications and timing is crucial for maximizing benefits and minimizing complications.
    • This technique provides a life-saving alternative when immediate definitive repair is not feasible.