Abdominal and thoracic wall closure: damage control surgery's cinderella
Fernando Rodríguez-Holguín1, Adolfo González Hadad2,3,4, David Mejia5,6
1Fundación Valle del Lili. Department of Surgery. Division of Trauma and Acute Care Surgery, Cali, Colombia.
Colombia Medica (Cali, Colombia)
|December 15, 2021
Summary
Damage control surgery involves abbreviated procedures for trauma patients. Negative pressure dressing is recommended for delayed abdominal or thoracic closure, improving success rates and reducing complications.
Area of Science:
- Trauma Surgery
- Surgical Critical Care
- Abdominal and Thoracic Surgery
Background:
- Damage control surgery (DCS) allows for delayed management of traumatic injuries and early resuscitation.
- Initial trauma response and resuscitation can lead to significant side effects like tissue edema and increased intra-cavity pressure.
- Optimal techniques for delayed abdominal and thoracic closure after DCS remain debated.
Purpose of the Study:
- To describe indications and surgical techniques for delayed abdominal or thoracic closure in severely injured trauma patients undergoing DCS.
- To present findings based on the experience of the Trauma and Emergency Surgery Group (CTE) in Cali, Colombia.
Main Methods:
- Review of surgical techniques and outcomes for delayed cavity closure following DCS.
- Focus on negative pressure dressing as a key technique.
Main Results:
- Negative pressure dressing is identified as a superior technique for delayed cavity closure.
- This method is associated with higher rates of successful abdominal wall closure.
- Lower complication and mortality rates are observed with negative pressure dressing.
Conclusions:
- Negative pressure dressing is recommended as the gold standard for delayed abdominal or thoracic closure after DCS.
- This technique offers improved outcomes in severely injured trauma patients.
