Early abdominal closure improves long-term outcomes after damage-control laparotomy

2013 ◽  
Vol 75 (5) ◽  
pp. 854-858 ◽  
Author(s):  
Nicole Fox ◽  
Melanie Crutchfield ◽  
Mary LaChant ◽  
Steven E. Ross ◽  
Mark J. Seamon
Keyword(s):  
Damage Control ◽  
Long Term Outcomes ◽  
Damage Control Laparotomy ◽  
Abdominal Closure

After the Storm: Early Abdominal Closure Affects Long Term Outcomes of Damage Control Survivors

2013 ◽  
Vol 179 (2) ◽  
pp. 198
Author(s):  
N. Fox ◽  
M. Crutchfield ◽  
M. Lachant ◽  
S.E. Ross ◽  
M.J. Seamon
Keyword(s):  
Damage Control ◽  
Long Term Outcomes ◽  
Abdominal Closure

Delayed Primary Closure in Damage Control Laparotomy: The Value of the Wittmann Patch

2007 ◽  
Vol 73 (1) ◽  
pp. 10-12 ◽  
Author(s):  
Josef G. Hadeed ◽  
Gregory W. Staman ◽  
Hector S. Sariol ◽  
Sanjay Kumar ◽  
Steven E. Ross
Keyword(s):  
Primary Closure ◽  
Damage Control ◽  
Trauma Surgery ◽  
High Rate ◽  
Damage Control Laparotomy ◽  
Abdominal Closure ◽  
Delayed Primary Closure ◽  
Accepted Practice ◽  
Planned Relaparotomy ◽  
Temporary Closure

Damage control laparotomy has become an accepted practice in trauma surgery. A number of methods leading to delayed primary closure of the abdomen have been advocated; complications are recognized with all these methods. The approach to staged repair using the Wittmann patch (Star Surgical Inc., Burlington, WI) combines the advantages of planned relaparotomy and open management, while minimizing the rate of complications. The authors hypothesized that use of the Wittmann patch would lead to a high rate of delayed primary closure of the abdomen. The patch consists of two sheets sutured to the abdominal fascia, providing for temporary closure. Advancement of the patch and abdominal exploration can be done at bedside. When the fascial edges can be reapproximated without tension, abdominal closure is performed. Twenty-six patients underwent staged abdominal closure during the study period. All were initially managed with intravenous bag closure. Eighty-three per cent (20 of 24) went on to delayed primary closure of the abdomen, with a mean time of 13.1 days from patch placement to delayed primary closure. The rate of closure using the Wittmann patch is equivalent to other commonly used methods and should be considered when managing patients with abdominal compartment syndrome or severe abdominal trauma.

LONG TERM IMPACT OF DAMAGE CONTROL LAPAROTOMY. A PROSPECTIVE STUDY.

2004 ◽  
Vol 57 (6) ◽  
pp. 1379
Author(s):  
E Hart ◽  
G Bochicchio ◽  
K Bochicchio ◽  
M Joshi ◽  
S Henry ◽  
...  
Keyword(s):  
Prospective Study ◽  
Damage Control ◽  
Damage Control Laparotomy ◽  
Long Term Impact ◽  
A Prospective Study

Trauma Patients with an Open Abdomen Following Damage Control Laparotomy can be Extubated Prior to Abdominal Closure

2018 ◽  
Vol 42 (10) ◽  
pp. 3210-3214 ◽  
Author(s):  
Joseph A. Sujka ◽  
Karen Safcsak ◽  
Michael L. Cheatham ◽  
Joseph A. Ibrahim
Keyword(s):  
Open Abdomen ◽  
Damage Control ◽  
Trauma Patients ◽  
Damage Control Laparotomy ◽  
Abdominal Closure

Planned ventral hernia following damage control laparotomy in trauma: an added year of recovery but equal long-term outcome

Hernia ◽  
2015 ◽  
Vol 20 (2) ◽  
pp. 231-238 ◽  
Author(s):  
B. M. Zosa ◽  
J. J. Como ◽  
K. B. Kelly ◽  
J. C. He ◽  
J. A. Claridge
Keyword(s):  
Ventral Hernia ◽  
Damage Control ◽  
Damage Control Laparotomy ◽  
Term Outcome ◽  
Long Term Outcome

Temporary Abdominal Closure: Long-Term Outcomes

2011 ◽  
Vol 70 (4) ◽  
pp. 769-774 ◽  
Author(s):  
Nirav Y. Patel ◽  
Thomas H. Cogbill ◽  
Kara J. Kallies ◽  
Michelle A. Mathiason
Keyword(s):  
Temporary Abdominal Closure ◽  
Long Term Outcomes ◽  
Abdominal Closure

Traumatic Brain Injury: A Trauma Surgeon's Perspective

2012 ◽  
Vol 22 (3) ◽  
pp. 82-89
Author(s):  
Oscar D. Guillamondegui
Keyword(s):  
Traumatic Brain Injury ◽  
Brain Injury ◽  
Multidisciplinary Approach ◽  
Trauma Team ◽  
The United States ◽  
Long Term Outcomes ◽  
Term Care ◽  
Injured Brain ◽  
The Moment

Traumatic brain injury (TBI) is a serious epidemic in the United States. It affects patients of all ages, race, and socioeconomic status (SES). The current care of these patients typically manifests after sequelae have been identified after discharge from the hospital, long after the inciting event. The purpose of this article is to introduce the concept of identification and management of the TBI patient from the moment of injury through long-term care as a multidisciplinary approach. By promoting an awareness of the issues that develop around the acutely injured brain and linking them to long-term outcomes, the trauma team can initiate care early to alter the effect on the patient, family, and community. Hopefully, by describing the care afforded at a trauma center and by a multidisciplinary team, we can bring a better understanding to the armamentarium of methods utilized to treat the difficult population of TBI patients.

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