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A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
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Damage control surgery for abdominal trauma.

Roberto Cirocchi1, Alessandro Montedori, Eriberto Farinella

  • 1Department of General Surgery, University of Perugia, Terni, Italy. cirocchiroberto@yahoo.it.

The Cochrane Database of Systematic Reviews
|April 2, 2013
PubMed
Summary
This summary is machine-generated.

Damage control surgery (DCS) for major abdominal trauma is not yet proven superior to immediate surgery. More research is needed to establish the efficacy of DCS in trauma patients.

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Area of Science:

  • Trauma Surgery
  • Surgical Critical Care
  • Emergency Medicine

Background:

  • Trauma is a leading cause of death, with the 'lethal triad' (acidosis, hypothermia, coagulopathy) being a significant factor.
  • Early bleeding control and preventing heat loss are crucial in managing trauma patients.
  • Damage control surgery (DCS) involves staged procedures for unstable patients with major abdominal trauma, contrasting with immediate definitive surgery.

Purpose of the Study:

  • To compare the effectiveness of damage control surgery (DCS) against traditional immediate definitive surgical treatment for patients with severe abdominal trauma.

Main Methods:

  • A comprehensive literature search was conducted across multiple databases (Cochrane, MEDLINE, EMBASE, etc.) up to December 2012.
  • Included studies were randomized controlled trials (RCTs) involving patients with major abdominal trauma (Abbreviated Injury Scale > 3) undergoing surgery.
  • Two independent reviewers assessed study relevance and extracted data.

Main Results:

  • The search identified 2551 studies, but no randomized controlled trials directly comparing DCS with immediate definitive repair for major abdominal trauma were found.
  • Numerous studies were excluded due to lack of relevance, and two were excluded after full-text review.

Conclusions:

  • There is currently limited evidence to support the efficacy of damage control surgery compared to traditional laparotomy in patients with major abdominal trauma.