Reinterventions after damage control surgery = Reintervención en cirugía de control de daños [documento electrónico] / David Alejandro Mejía Toro, ; Salín Pereira Warr,  . - 2021.
Obra : Colombia Médica

Idioma : Inglés (eng)

Palabras clave :	Laparotomy  Ostomy  Thoracic Cavity  Anastomosis  Surgical  Postoperative Period  Cardiac Surgical Procedures  Intensive Care Units  Surgical Wound Infection  Colostomy  Abdominal Wall  Reoperation  Intra-Abdominal Hypertension
Resumen :	Damage control has well-defined steps. However, there are still controversies regarding whom, when, and how re-interventions should be performed. This article summarizes the Trauma and Emergency Surgery Group (CTE) Cali-Colombia recommendations about the specific situations concerning second interventions of patients undergoing damage control surgery. We suggest packing as the preferred bleeding control strategy, followed by unpacking within the next 48-72 hours. In addition, a deferred anastomosis is recommended for correction of intestinal lesions, and patients treated with vascular shunts should be re-intervened within 24 hours for definitive management. Furthermore, abdominal or thoracic wall closure should be attempted within eight days. These strategies aim to decrease complications, morbidity, and mortality.
Mención de responsabilidad :	Mejia, D., Pereira-Warr, S., Delgado-Lopez, C., Salcedo, A., Rodriguez-Holguín, F., Serna, J. J., Caicedo, Y., Pino, L. F., Gonzalez Hadad, A., Herrera, M. A., Parra, M., García, A., & Ordoñez, C. A.
Referencia :	Colomb Med (Cali). 2021 Jun 30;52(2):e4154805.
DOI (Digital Object Identifier) :	10.25100/cm.v52i2.4805
PMID :	34908623
Derechos de uso :	CC BY-NC
En línea :	https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4805
Enlace permanente :	https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5821