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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.

R Chaudhry¹, G L Tiwari², Y Singh³

¹Prof & Head (Dept of Surgery), AFMC, Pune-40.

Medical Journal, Armed Forces India

|July 14, 2016

Summary

This summary is machine-generated.

Damage control surgery saves critically injured patients by addressing hypothermia, acidosis, and coagulopathy. This approach involves abbreviated surgery, physiological correction, and delayed definitive repair for better outcomes.

Keywords:

Damage control surgery acidosis coagulopathy hypothermia

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Area of Science:

Trauma Surgery
Surgical Critical Care

Background:

Severe exsanguinating injuries pose a significant challenge in trauma care.
Immediate definitive surgical repair can be detrimental due to physiological derangement from shock and resuscitation.

Purpose of the Study:

To introduce damage control surgery as a paradigm shift in managing severe trauma.
To outline the strategy for mitigating the lethal triad of hypothermia, acidosis, and coagulopathy.

Main Methods:

Initial abbreviated laparotomy to control hemorrhage and contamination.
Correction of physiological derangements including hypothermia, acidosis, and coagulopathy.
Second-look laparotomy for definitive repair of injuries once the patient is physiologically stable.

Main Results:

This staged approach aims to prevent patient death from physiological collapse despite successful initial repair.
Successful implementation requires careful patient selection and a dedicated multidisciplinary team.

Conclusions:

Damage control surgery represents a critical advancement in saving patients with life-threatening exsanguinating injuries.
The strategy effectively combats the lethal triad, improving survival rates in severe trauma.