Thomas G. Orr Memorial Lecture. Staged laparotomy for the hypothermia, acidosis, and coagulopathy syndrome

Am J Surg. 1996 Nov;172(5):405-10. doi: 10.1016/s0002-9610(96)00216-4.


The recent history, indications, physiologic objectives, and technical aspects of staged laparotomy are discussed in this overview. While postinjury refractory coagulopathy is the most common scenario for this life-saving concept, there are many other potential applications during both emergency and elective procedures in the neck, chest, pelvis, and extremities as well as the abdomen.

Publication types

  • Lecture

MeSH terms

  • Abdominal Muscles / surgery
  • Acidosis / surgery*
  • Disseminated Intravascular Coagulation / surgery*
  • Humans
  • Hypothermia / surgery*
  • Intensive Care Units
  • Laparotomy / methods*
  • Monitoring, Intraoperative
  • Syndrome