Abdominal and thoracic wall closure: damage control surgery’s cinderella = El cierre de la pared abdominal y torácica: La cenicienta en la cirugía control de daños [documento electrónico] / David Alejandro Mejía Toro,  . - 2021.
Obra : Colombia Médica

Idioma : Inglés (eng)

Palabras clave :	Delayed Cavity Closure  Temporary Closure  Open Abdomen  Negative Pressure Dressing  Thoracic Packing  Hemodynamically Unstable  Damage Control Surgery
Resumen :	Damage control surgery principles allow delayed management of traumatic lesions and early metabolic resuscitation by performing abbreviated procedures and prompt resuscitation maneuvers in severely injured trauma patients. However, the initial physiological response to trauma and surgery, along with the hemostatic resuscitation efforts, causes important side effects on intracavitary organs such as tissue edema, increased cavity pressure, and hemodynamic collapse. Consequently, different techniques have been developed over the years for a delayed cavity closure. Nonetheless, the optimal management of abdominal and thoracic surgical closure remains controversial. This article aims to describe the indications and surgical techniques for delayed abdominal or thoracic closure following damage control surgery in severely injured trauma patients, based on the experience obtained by the Trauma and Emergency Surgery Group (CTE) of Cali, Colombia. We recommend negative pressure dressing as the gold standard technique for delayed cavity closure, associated with higher wall closure success rates and lower complication and mortality rates.
Mención de responsabilidad :	Rodríguez-Holguín, F., González-Hadad, A., Mejia, D., Ceballos, C., Himmler, A., Caicedo, Y., Salcedo, A., Serna, J. J., Herrera, M. A., Pino, L. F., Parra, M., & Ordoñez, C. A.
Referencia :	Colomb Med (Cali). 2021 Jun 30;52(2):e4144777.
DOI (Digital Object Identifier) :	10.25100/cm.v52i2.4777
PMID :	34908622
Derechos de uso :	CC BY-NC
En línea :	https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4777
Enlace permanente :	https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5820