scholarly journals The role of co-administration of damage control surgery and vacuum-assisted closure in the treatment of perineal wounds

2018 ◽  
Vol 34 (3) ◽  
pp. 229-230
Author(s):  
Mustafa Ugur ◽  
◽  
Cem Oruc ◽  
Ihsan Yildiz ◽  
Yavuz Savas Koca ◽  
...  
Keyword(s):  
Damage Control ◽  
Damage Control Surgery ◽  
Vacuum Assisted Closure ◽  
Perineal Wounds

scholarly journals Comparative study of abdominal cavity temporary closure techniques for damage control

2016 ◽  
Vol 43 (5) ◽  
pp. 368-373 ◽  
Author(s):  
MARCELO A. F. RIBEIRO JR ◽  
EMILY ALVES BARROS ◽  
SABRINA MARQUES DE CARVALHO ◽  
VINICIUS PEREIRA NASCIMENTO ◽  
JOSÉ CRUVINEL NETO ◽  
...  
Keyword(s):  
Damage Control ◽  
Low Cost ◽  
Abdominal Cavity ◽  
Damage Control Surgery ◽  
Cellular Level ◽  
Easy Access ◽  
Vacuum Assisted Closure ◽  
Temporary Closure ◽  
Reducing Stress ◽  
Vacuum Assisted Closure Therapy

ABSTRACT The damage control surgery, with emphasis on laparostomy, usually results in shrinkage of the aponeurosis and loss of the ability to close the abdominal wall, leading to the formation of ventral incisional hernias. Currently, various techniques offer greater chances of closing the abdominal cavity with less tension. Thus, this study aims to evaluate three temporary closure techniques of the abdominal cavity: the Vacuum-Assisted Closure Therapy - VAC, the Bogotá Bag and the Vacuum-pack. We conducted a systematic review of the literature, selecting 28 articles published in the last 20 years. The techniques of the bag Bogotá and Vacuum-pack had the advantage of easy access to the material in most centers and low cost, contrary to VAC, which, besides presenting high cost, is not available in most hospitals. On the other hand, the VAC technique was more effective in reducing stress at the edges of lesions, removing stagnant fluids and waste, in addition to acting at the cellular level by increasing proliferation and cell division rates, and showed the highest rates of primary closure of the abdominal cavity.

Role of Negative Pressure Therapy as Damage Control in Soft Tissue Reconstruction for Open Tibial Fractures

2017 ◽  
Vol 33 (S 01) ◽  
pp. S08-S13 ◽  
Author(s):  
Luigi Valdatta ◽  
Pierluigi Tos ◽  
Salvatore D'Arpa ◽  
Luigi Troisi ◽  
Pellegatta Igor ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Negative Pressure ◽  
Chronic Wounds ◽  
Damage Control ◽  
Physiological State ◽  
Damage Control Surgery ◽  
Soft Tissue Reconstruction ◽  
Pressure Therapy ◽  
Temporary Closure

AbstractThe concept of damage control orthopaedics (DCO) is a strategy that focuses on managing orthopaedic injuries in polytrauma patients who are in an unstable physiological state. The concept of DCO is an extension of damage control surgery or damage limitation surgery (DCS/DLS). Recently, it has become clear that certain patients, following extensive soft tissue trauma, could benefit from the idea of DCS. In the management of severe lower extremity trauma with exposed fracture sites, aggressive early wound excision debridement, early internal fixation, and vascularized wound coverage within a few days after trauma were proposed. A negative-pressure dressing can be easily and rapidly applied to obtain a temporary closure between surgical stages. While negative pressure wound therapy (NPWT) has clear indications in the management of chronic wounds, its applications in the acute setting in victims of polytrauma are uneven. We conducted a review of the current clinical literature to evaluate the role of NPWT in this field, which points out that the negative pressure, applied immediately after the first debridement, seems to be an optimal bridge to the final reconstruction up to 7 days.

Role of a Hybrid Room in Damage Control Surgery

2018 ◽  
pp. 93-98
Author(s):  
Dushyant Iyer ◽  
Chad G. Ball ◽  
Scott K. D’Amours
Keyword(s):  
Damage Control ◽  
Damage Control Surgery

Timing of Fracture Fixation in Multitrauma Patients: The Role of Early Total Care and Damage Control Surgery

2009 ◽  
Vol 17 (9) ◽  
pp. 541-549 ◽  
Author(s):  
Hans-Christoph Pape ◽  
Paul Tornetta ◽  
Ivan Tarkin ◽  
Christopher Tzioupis ◽  
Vani Sabeson ◽  
...  
Keyword(s):  
Fracture Fixation ◽  
Damage Control ◽  
Damage Control Surgery ◽  
Early Total Care ◽  
Total Care

scholarly journals Role of Damage Control Surgery in the Treatment of Hinchey III and IV Sigmoid Diverticulitis

Medicine ◽  
2014 ◽  
Vol 93 (25) ◽  
pp. e184 ◽  
Author(s):  
Roberto Cirocchi ◽  
Alberto Arezzo ◽  
Nereo Vettoretto ◽  
Davide Cavaliere ◽  
Eriberto Farinella ◽  
...  
Keyword(s):  
Damage Control ◽  
Damage Control Surgery ◽  
Sigmoid Diverticulitis

PS01.033: THE ROLE OF EARLY LAPAROSCOPY IN CORROSIVE INJURY OF ESOPHAGUS AND STOMACH

2018 ◽  
Vol 31 (Supplement_1) ◽  
pp. 59-59
Author(s):  
Yi-Pin Chou
Keyword(s):  
Conflicts Of Interest ◽  
Damage Control ◽  
Demographic Data ◽  
Damage Control Surgery ◽  
The Other ◽  
Corrosive Injury ◽  
Injury Patient ◽  
Group 2 ◽  
Group 1

Abstract Background Corrosive agents usually induce chemical burn of upper gastro-intestine tract. Most patients could be managed successfully with medical treatment, but damage control surgery (DCS) with esophagectomy and gastrectomy are required when trans-mural necrosis is progressed. Making decision of timing on these radical surgeries is quite difficult in patients without initial peritoneal signs. Methods From Feb. 2007 to Oct. 2016, patients with corrosive injury without indication of emergent DCS were included. All these patients were divided into two groups. The Group 1 receives early laparoscopy within 24 hours after accidents. The other patients receive observations and surgical intervention once organs injuries are progressed. All basic demographic data and clinical outcomes were recorded. Results Total 65 patients were included. 14 patients receive emergent laparoscopy as Group 1. The other 51 patients receive close observations as Group 2. Two patients in Group 1 convert to DCS and the other patients receive gastrostomy and feeding jejunostomy. 18 patients in Group 2 receive DCS due to progressing peritoneal signs. Rates of esophageal stricture and stomach contracture are higher in Group 2 (8.3% vs. 48.5%, P = 0.014). Conclusion Early laparoscopy is a good diagnostic tool in corrosive injury patient without obvious peritoneal signs. This method could early detect trans-mural necrosis. In addition to diagnosis, laparoscopy could also perform gastrostomy for adequate drainage that could prevent esophageal and gastric stricture. Disclosure All authors have declared no conflicts of interest.

The role of the operating department practitioner on board Role 2 Afloat

2017 ◽  
Vol 103 (1) ◽  
pp. 30-31
Author(s):  
A Stables ◽  
G Seal ◽  
S J Mercer
Keyword(s):  
Damage Control ◽  
Damage Control Surgery ◽  
Damage Control Resuscitation ◽  
Royal Navy

AbstractThe Role 2 Afloat (R2A) is the Royal Navy (RN)’s Damage Control Resuscitation (DCR), including Damage Control Surgery, capability at sea. There are currently three operating department practitioners (ODP) in the deployed team. This article describes the role of the ODP in this team and the training which is required to fulfil this role.

The role of the operating department practitioner on board Role 2 Afloat

2018 ◽  
Vol 28 (11) ◽  
pp. 300-301
Author(s):  
A Stables ◽  
G Seal ◽  
S J Mercer
Keyword(s):  
Damage Control ◽  
Damage Control Surgery ◽  
Damage Control Resuscitation ◽  
Royal Navy

The Role 2 Afloat (R2A) is the Royal Navy (RN)'s Damage Control Resuscitation (DCR), including Damage Control Surgery, capability at sea. There are currently three operating department practitioners (ODP) in the deployed team. This article describes the role of the ODP in this team and the training which is required to fulfil this role.

Sign in / Sign up

Export Citation Format

Share Document