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Enlace permanente de la investigaciónAbdominal and thoracic wall closure: damage control surgery’s cinderella / David Alejandro Mejía Toro
Título : Abdominal and thoracic wall closure: damage control surgery’s cinderella Otros títulos : El cierre de la pared abdominal y torácica: La cenicienta en la cirugía control de daños Tipo de documento : documento electrónico Autores : David Alejandro Mejía Toro, Fecha de publicación : 2021 Títulos uniformes : 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 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 Reserva
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Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001754 AC-2021-070 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2021-070Adobe Acrobat PDF
Título : Damage control approach to refractory neurogenic shock: a new proposal to a well-established algorithm Otros títulos : El control de daños en el choque neurogénico refractario: propuesta de un nuevo algoritmo de manejo Tipo de documento : documento electrónico Autores : David Alejandro Mejía Toro, Fecha de publicación : 2021 Títulos uniformes : Colombia Médica Idioma : Inglés (eng) Palabras clave : Hemorrhagic Shock Hypovolemia Spinal Cord Injuries Balloon Occlusion Spinal Cord Ischemia Intensive Care Units REBOA Damage control surgery Resumen : Resuscitative endovascular balloon occlusion of the aorta (REBOA) is commonly used as an adjunct to resuscitation and bridge to definitive control of non-compressible torso hemorrhage in patients with hemorrhagic shock. It has also been performed for patients with neurogenic shock to support the central aortic pressure necessary for cerebral, coronary and spinal cord perfusion. Although volume replacement and vasopressors are the cornerstones of the management of neurogenic shock, we believe that a REBOA can be used as an adjunct in carefully selected cases to prevent prolonged hypotension and the risk of further anoxic spinal cord injury. This manuscript aims to propose a new damage control algorithmic approach to refractory neurogenic shock that includes the use of a REBOA in Zone 3. There are still unanswered questions on spinal cord perfusion and functional outcomes using a REBOA in Zone 3 in trauma patients with refractory neurogenic shock. However, we believe that its use in these case scenarios can be beneficial to the overall outcome of these patients. Mención de responsabilidad : Michael W. Parra, Carlos A. Ordoñez, David Mejia, Yaset Caicedo, Javier Mauricio Lobato, Oscar Javier Castro, Jose Alfonso Uribe, Fernando Velásquez Referencia : Colomb Med (Cali). 2021 Jun 30;52(2):e4164800. DOI (Digital Object Identifier) : 10.25100/cm.v52i2.4800 PMID : 34908624 Derechos de uso : CC BY-NC-ND En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4800 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5829 Damage control approach to refractory neurogenic shock: a new proposal to a well-established algorithm = El control de daños en el choque neurogénico refractario: propuesta de un nuevo algoritmo de manejo [documento electrónico] / David Alejandro Mejía Toro, . - 2021.
Obra : Colombia Médica
Idioma : Inglés (eng)
Palabras clave : Hemorrhagic Shock Hypovolemia Spinal Cord Injuries Balloon Occlusion Spinal Cord Ischemia Intensive Care Units REBOA Damage control surgery Resumen : Resuscitative endovascular balloon occlusion of the aorta (REBOA) is commonly used as an adjunct to resuscitation and bridge to definitive control of non-compressible torso hemorrhage in patients with hemorrhagic shock. It has also been performed for patients with neurogenic shock to support the central aortic pressure necessary for cerebral, coronary and spinal cord perfusion. Although volume replacement and vasopressors are the cornerstones of the management of neurogenic shock, we believe that a REBOA can be used as an adjunct in carefully selected cases to prevent prolonged hypotension and the risk of further anoxic spinal cord injury. This manuscript aims to propose a new damage control algorithmic approach to refractory neurogenic shock that includes the use of a REBOA in Zone 3. There are still unanswered questions on spinal cord perfusion and functional outcomes using a REBOA in Zone 3 in trauma patients with refractory neurogenic shock. However, we believe that its use in these case scenarios can be beneficial to the overall outcome of these patients. Mención de responsabilidad : Michael W. Parra, Carlos A. Ordoñez, David Mejia, Yaset Caicedo, Javier Mauricio Lobato, Oscar Javier Castro, Jose Alfonso Uribe, Fernando Velásquez Referencia : Colomb Med (Cali). 2021 Jun 30;52(2):e4164800. DOI (Digital Object Identifier) : 10.25100/cm.v52i2.4800 PMID : 34908624 Derechos de uso : CC BY-NC-ND En línea : https://colombiamedica.univalle.edu.co/index.php/comedica/article/view/4800 Enlace permanente : https://hospitalpablotobon.cloudbiteca.com/pmb/opac_css/index.php?lvl=notice_display&id=5829 Reserva
Reservar este documentoEjemplares(1)
Código de barras Número de Ubicación Tipo de medio Ubicación Sección Estado DD001763 AC-2021-079 Archivo digital Producción Científica Artículos científicos Disponible Documentos electrónicos
2021-079Adobe Acrobat PDF
