Damage control in trauma: laparotomy wound management acute to chronic

Surg Clin North Am. 2007 Feb;87(1):73-93, vi. doi: 10.1016/j.suc.2006.09.011.

Abstract

Damage control surgery is fundamental to operative trauma care. Prophylactic application of open abdomen techniques has led to avoidance of a great deal of the organ dysfunction associated with abdominal compartment syndrome. Surgeons are learning about management of large open abdominal wounds. There seems to be a general consensus regarding acute management of these wounds. Institutions are using staged techniques of management. Getting open wounds closed as soon as possible leads to fewer complications. The acute use of vacuum wound may provide for early secondary closure. There is less study focused on optimal definitive reconstructive techniques. Further study in all of these areas will lead to improved outcomes.

Publication types

  • Review

MeSH terms

  • Abdomen
  • Abdominal Injuries / complications
  • Abdominal Injuries / physiopathology
  • Abdominal Wall / surgery
  • Biocompatible Materials
  • Compartment Syndromes* / etiology
  • Compartment Syndromes* / physiopathology
  • Hernia, Ventral / therapy
  • Humans
  • Intestinal Fistula / surgery
  • Laparotomy / methods*
  • Prostheses and Implants
  • Reconstructive Surgical Procedures
  • Reperfusion Injury / physiopathology
  • Suture Techniques
  • Wounds and Injuries / surgery*
  • Wounds and Injuries / therapy

Substances

  • Biocompatible Materials