Reinterventions after damage control surgery.

IF 0.7 4区医学 Q3 MEDICINE, GENERAL & INTERNAL

Colombia Medica Pub Date : 2021-06-30 eCollection Date: 2021-04-01 DOI:10.25100/cm.v52i2.4805

David Mejia, Salin Pereira Warr, Carlos Andrés Delgado-López, Alexander Salcedo, Fernando Rodríguez-Holguín, José Julián Serna, Yaset Caicedo, Luis Fernando Pino, Adolfo González-Hadad, Mario Alain Herrera, Michael W Parra, Alberto García, Carlos A Ordoñez

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引用次数: 0

Abstract

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.

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损伤控制手术后再干预。

损害控制有明确的步骤。然而，关于谁、何时以及如何进行再干预仍然存在争议。本文总结了加州-哥伦比亚创伤与急诊外科小组(CTE)关于对接受损伤控制手术的患者进行二次干预的具体情况的建议。我们建议将包装作为首选的出血控制策略，然后在接下来的48-72小时内拆包。此外，建议延期吻合矫正肠道病变，血管分流治疗的患者应在24小时内再次介入，以确定治疗。此外，腹壁或胸壁应在8天内关闭。这些策略旨在减少并发症、发病率和死亡率。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Colombia Medica MEDICINE, GENERAL & INTERNAL-

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

>12 weeks

期刊介绍： Colombia Médica is an international peer-reviewed medical journal that will consider any original contribution that advances or illuminates medical science or practice, or that educates to the journal''s’ readers.The journal is owned by a non-profit organization, Universidad del Valle, and serves the scientific community strictly following the International Committee of Medical Journal Editors (ICMJE) and the World Association of Medical Editors (WAME) recommendations of policies on publication ethics policies for medical journals. Colombia Médica publishes original research articles, viewpoints and reviews in all areas of medical science and clinical practice. However, Colombia Médica gives the highest priority to papers on general and internal medicine, public health and primary health care.