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[Application of damage control surgery in serious pediatric abdominal surgery]
Qiang Yin1, Xiao-Yu Zhou, Ya-Ling Xiao
1Department of General Surgery, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Insights
Damage control surgery (DCS) offers superior outcomes for pediatric abdominal emergencies compared to conventional surgery. This staged approach significantly improves cure rates in critically ill children.
Area of Science:
- Pediatric Surgery
- Surgical Critical Care
- Abdominal Trauma Management
Context:
- Serious pediatric abdominal conditions present complex surgical challenges.
- Damage control surgery (DCS) addresses these issues through a staged, phased approach.
- Evaluating DCS efficacy in pediatric abdominal surgery is crucial.
Purpose:
- To investigate the application and effectiveness of damage control surgery (DCS) in pediatric patients with severe abdominal diseases.
- To compare DCS with conventional surgical operations in this population.
- To analyze key clinical parameters and treatment outcomes.
Summary:
- A retrospective study compared 32 children undergoing DCS with 17 receiving conventional surgery for serious abdominal diseases.
- Postoperative blood pH and prothrombin time showed significant differences favoring DCS.
- DCS demonstrated a higher success rate (84.4%) compared to conventional surgery (52.9%).
Impact:
- Damage control surgery shows a significantly higher curative effect in children with serious abdominal diseases.
- DCS is a valuable management strategy for severe pediatric abdominal conditions.
- This approach may improve patient outcomes in complex pediatric surgical cases.
Objective:
Damage control surgery (DCS) deals with the complex surgical problems by stages. This study investigated the application of DCS in serious pediatric abdominal surgery.
Methods:
The clinical data of 49 children with serious abdominal diseases (age: 4 months to 10 years) were retrospectively studied. Of them, 32 children underwent damage control surgery (DCS) and 17 children underwent conventional operation. The preoperative critical severity score (CSS), postoperative temperature, blood pH and prothrombin time (PT), and the treatment outcome were compared between the DCS and the conventional operation groups.
Results:
No significant difference was found in the preoperative CSS between the two groups. There were significant differences in postoperative blood pH and PT values between the two groups (p<0.05). As for postoperative temperature, there was no statistical difference between the two groups, yet the tendency of temperature recovery in the DCS group was milder than that in the conventional operation group. Twenty-seven children (84.4%) were successfully cured in the DCS group, while 9 children (52.9%) in the conventional operation group (p<0.05).
Conclusions:
The curative effect of DCS surpasses the conventional operation in children with serious abdominal diseases, suggesting that DCS is of value in the management of serious pediatric abdominal diseases.
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