عنوان

The open abdomen in trauma and non-trauma patients:

شماره

LA4mw222vm

عنوان اصلي

The open abdomen in trauma and non-trauma patients:

نام عام مواد

[Article]

نام نخستين پديدآور

Coccolini, Federico; Roberts, Derek; Ansaloni, Luca; Ivatury, Rao; Gamberini, Emiliano; Kluger, Yoram; Moore, Ernest E; Coimbra, Raul; Kirkpatrick, Andrew W; Pereira, Bruno M; Montori, Giulia; Ceresoli, Marco; Abu-Zidan, Fikri M; Sartelli, Massimo; Velmahos, George; Fraga, Gustavo Pereira; et al.

عنوان اصلي به قلم نويسنده ديگر

WSES guidelines.

متن يادداشت

Damage control resuscitation may lead to postoperative intra-abdominal hypertension or abdominal compartment syndrome. These conditions may result in a vicious, self-perpetuating cycle leading to severe physiologic derangements and multiorgan failure unless interrupted by abdominal (surgical or other) decompression. Further, in some clinical situations, the abdomen cannot be closed due to the visceral edema, the inability to control the compelling source of infection or the necessity to re-explore (as a "planned second-look" laparotomy) or complete previously initiated damage control procedures or in cases of abdominal wall disruption. The open abdomen in trauma and non-trauma patients has been proposed to be effective in preventing or treating deranged physiology in patients with severe injuries or critical illness when no other perceived options exist. Its use, however, remains controversial as it is resource consuming and represents a non-anatomic situation with the potential for severe adverse effects. Its use, therefore, should only be considered in patients who would most benefit from it. Abdominal fascia-to-fascia closure should be done as soon as the patient can physiologically tolerate it. All precautions to minimize complications should be implemented.

تاريخ نشر

2018

عنوان

UC Davis

نام الکترونيکي

نوع ماده

[Article]

کد کاربرگه

275578

سطح دسترسي

a

تكميل شده

Y