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Titolo:
Abbreviated laparotomy
Autore:
Arvieux, C; Letublon, C;
Indirizzi:
CHU Grenoble, Serv Chirurg Gen & Digest, F-38043 Grenoble 09, France CHU Grenoble Grenoble France 09 en & Digest, F-38043 Grenoble 09, France
Titolo Testata:
JOURNAL DE CHIRURGIE
fascicolo: 3, volume: 137, anno: 2000,
pagine: 133 - 141
SICI:
0021-7697(200006)137:3<133:AL>2.0.ZU;2-Z
Fonte:
ISI
Lingua:
FRE
Soggetto:
ABDOMINAL COMPARTMENT SYNDROME; DAMAGE CONTROL LAPAROTOMY; TRAUMA PATIENTS; PLANNED REOPERATION; MASSIVE TRANSFUSION; IMPROVED SURVIVAL; LIVER TRAUMA; HYPOTHERMIA; MANAGEMENT; CLOSURE;
Keywords:
abdominal trauma; treatment; abbreviated laparatomy; abdominal compartment syndrome;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
50
Recensione:
Indirizzi per estratti:
Indirizzo: Arvieux, C CHU Grenoble, Serv Chirurg Gen & Digest, BP 217, F-38043 Grenoble 09, France CHU Grenoble BP 217 Grenoble France 09 043 Grenoble 09, France
Citazione:
C. Arvieux e C. Letublon, "Abbreviated laparotomy", J CHIR, 137(3), 2000, pp. 133-141

Abstract

The decision to perform damage control laparotomy in a critically injured patients depends on the risk of life-threatening coagulopathy. The main decision criteria are: presence of concomant injuries, patient history, shock,transfusion volume, hypothermia and acidosis. The aim of surgery is to achieve satisfactory hemostasis, limit peritoneal thermal loss, and perform physiological restoration as rapidly as possible in the intensive care unit. This includes gauze packing major liver or retroperitoneal injuries and ligation of injured blood vessels. Injuries to the intestine and the urinary tract are sutures, stapled or drained. If the skin borders cannot be approximated because of excessive abdominal tension, a wall prosthesis should be used to avoid abdominal compartment syndrome. Reoperation is a dangerous procedure in the immediate postoperative period but must be proposed later forreexploration or damage repair.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 14/07/20 alle ore 19:00:53