Managing the Open Abdomen in Damage Control Surgery: Should Skin-Only Closure be Abandoned?

During damage control laparotomy, surgery is abbreviated to allow for the correction of physiologic disturbances, with a plan to return to the operating theatre for definitive surgical repair. Re-entry into the abdomen is facilitated by temporary abdominal closure (TAC). Skin-only closure is one of...

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Autores principales: Milne, David M, Rambhajan, Amrit, Ramsingh, Jason, Cawich, Shamir O, Naraynsingh, Vijay
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2021
Materias:
General Surgery
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261903/
https://www.ncbi.nlm.nih.gov/pubmed/34268021
http://dx.doi.org/10.7759/cureus.15489
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author Milne, David M
Rambhajan, Amrit
Ramsingh, Jason
Cawich, Shamir O
Naraynsingh, Vijay
author_facet Milne, David M
Rambhajan, Amrit
Ramsingh, Jason
Cawich, Shamir O
Naraynsingh, Vijay
author_sort Milne, David M
collection PubMed
description During damage control laparotomy, surgery is abbreviated to allow for the correction of physiologic disturbances, with a plan to return to the operating theatre for definitive surgical repair. Re-entry into the abdomen is facilitated by temporary abdominal closure (TAC). Skin-only closure is one of the many techniques described for TAC Numerous sources advise against the use of this technique because of the risk of complications. This case report describes the use of skin-only closure during a damage control laparotomy. We reviewed the literature surrounding the various options for TAC to elucidate the potential role of skin-only closure after damage control laparotomy.
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spelling pubmed-82619032021-07-14 Managing the Open Abdomen in Damage Control Surgery: Should Skin-Only Closure be Abandoned? Milne, David M Rambhajan, Amrit Ramsingh, Jason Cawich, Shamir O Naraynsingh, Vijay Cureus General Surgery During damage control laparotomy, surgery is abbreviated to allow for the correction of physiologic disturbances, with a plan to return to the operating theatre for definitive surgical repair. Re-entry into the abdomen is facilitated by temporary abdominal closure (TAC). Skin-only closure is one of the many techniques described for TAC Numerous sources advise against the use of this technique because of the risk of complications. This case report describes the use of skin-only closure during a damage control laparotomy. We reviewed the literature surrounding the various options for TAC to elucidate the potential role of skin-only closure after damage control laparotomy. Cureus 2021-06-07 /pmc/articles/PMC8261903/ /pubmed/34268021 http://dx.doi.org/10.7759/cureus.15489 Text en Copyright © 2021, Milne et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle General Surgery
Milne, David M
Rambhajan, Amrit
Ramsingh, Jason
Cawich, Shamir O
Naraynsingh, Vijay
Managing the Open Abdomen in Damage Control Surgery: Should Skin-Only Closure be Abandoned?
title Managing the Open Abdomen in Damage Control Surgery: Should Skin-Only Closure be Abandoned?
title_full Managing the Open Abdomen in Damage Control Surgery: Should Skin-Only Closure be Abandoned?
title_fullStr Managing the Open Abdomen in Damage Control Surgery: Should Skin-Only Closure be Abandoned?
title_full_unstemmed Managing the Open Abdomen in Damage Control Surgery: Should Skin-Only Closure be Abandoned?
title_short Managing the Open Abdomen in Damage Control Surgery: Should Skin-Only Closure be Abandoned?
title_sort managing the open abdomen in damage control surgery: should skin-only closure be abandoned?
topic General Surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8261903/
https://www.ncbi.nlm.nih.gov/pubmed/34268021
http://dx.doi.org/10.7759/cureus.15489
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