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Reinterventions after damage control surgery
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 interve...
Autores principales: | , , , , , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Universidad del Valle
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8634277/ https://www.ncbi.nlm.nih.gov/pubmed/34908623 http://dx.doi.org/10.25100/cm.v52i2.4805 |
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author | Mejia, David Warr, Salin Pereira Delgado-López,, Carlos Andrés Salcedo, Alexander Rodríguez-Holguín, Fernando Serna, José Julián Caicedo, Yaset Pino, Luis Fernando González-Hadad, Adolfo Herrera, Mario Alain Parra, Michael W. García, Alberto Ordoñez, Carlos A. |
author_facet | Mejia, David Warr, Salin Pereira Delgado-López,, Carlos Andrés Salcedo, Alexander Rodríguez-Holguín, Fernando Serna, José Julián Caicedo, Yaset Pino, Luis Fernando González-Hadad, Adolfo Herrera, Mario Alain Parra, Michael W. García, Alberto Ordoñez, Carlos A. |
author_sort | Mejia, David |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-8634277 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Universidad del Valle |
record_format | MEDLINE/PubMed |
spelling | pubmed-86342772021-12-13 Reinterventions after damage control surgery Mejia, David Warr, Salin Pereira Delgado-López,, Carlos Andrés Salcedo, Alexander Rodríguez-Holguín, Fernando Serna, José Julián Caicedo, Yaset Pino, Luis Fernando González-Hadad, Adolfo Herrera, Mario Alain Parra, Michael W. García, Alberto Ordoñez, Carlos A. Colomb Med (Cali) Review 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. Universidad del Valle 2021-06-30 /pmc/articles/PMC8634277/ /pubmed/34908623 http://dx.doi.org/10.25100/cm.v52i2.4805 Text en Copyright © 2021 Colombia Medica https://creativecommons.org/licenses/by-nc-nd/4.0/This article is distributed under the terms of the Creative Commons Attribution License http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) ), which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Review Mejia, David Warr, Salin Pereira Delgado-López,, Carlos Andrés Salcedo, Alexander Rodríguez-Holguín, Fernando Serna, José Julián Caicedo, Yaset Pino, Luis Fernando González-Hadad, Adolfo Herrera, Mario Alain Parra, Michael W. García, Alberto Ordoñez, Carlos A. Reinterventions after damage control surgery |
title | Reinterventions after damage control surgery |
title_full | Reinterventions after damage control surgery |
title_fullStr | Reinterventions after damage control surgery |
title_full_unstemmed | Reinterventions after damage control surgery |
title_short | Reinterventions after damage control surgery |
title_sort | reinterventions after damage control surgery |
topic | Review |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8634277/ https://www.ncbi.nlm.nih.gov/pubmed/34908623 http://dx.doi.org/10.25100/cm.v52i2.4805 |
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