Managing the Open Abdomen in Damage Control Surgery: Should Skin-Only Closure be Abandoned?

During damage control laparotomy, surgery is abbreviated to allow for the correction of physiologic disturbances, with a plan to return to the operating theatre for definitive surgical repair. Re-entry into the abdomen is facilitated by temporary abdominal closure (TAC). Skin-only closure is one of...

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Published inCurēus (Palo Alto, CA) Vol. 13; no. 6
Main Authors Milne, David M, Rambhajan, Amrit, Ramsingh, Jason, Cawich, Shamir O, Naraynsingh, Vijay
Format Journal Article
LanguageEnglish
Published Palo Alto (CA) Cureus 07.06.2021
Subjects
General Surgery
Trauma
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Abstract During damage control laparotomy, surgery is abbreviated to allow for the correction of physiologic disturbances, with a plan to return to the operating theatre for definitive surgical repair. Re-entry into the abdomen is facilitated by temporary abdominal closure (TAC). Skin-only closure is one of the many techniques described for TAC Numerous sources advise against the use of this technique because of the risk of complications. This case report describes the use of skin-only closure during a damage control laparotomy. We reviewed the literature surrounding the various options for TAC to elucidate the potential role of skin-only closure after damage control laparotomy.
AbstractList During damage control laparotomy, surgery is abbreviated to allow for the correction of physiologic disturbances, with a plan to return to the operating theatre for definitive surgical repair. Re-entry into the abdomen is facilitated by temporary abdominal closure (TAC). Skin-only closure is one of the many techniques described for TAC Numerous sources advise against the use of this technique because of the risk of complications. This case report describes the use of skin-only closure during a damage control laparotomy. We reviewed the literature surrounding the various options for TAC to elucidate the potential role of skin-only closure after damage control laparotomy.
Author Rambhajan, Amrit
Ramsingh, Jason
Cawich, Shamir O
Milne, David M
Naraynsingh, Vijay
AuthorAffiliation 3 Surgery, The University of the West Indies, St. Augustine, TTO
5 Surgery, Medical Associates Hospital, St. Joseph, TTO
4 Clinical Surgical Sciences, The University of the West Indies, St. Augustine, TTO
1 General Surgery, General Hospital Port of Spain, Port of Spain, TTO
2 General Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, GBR
AuthorAffiliation_xml – name: 5 Surgery, Medical Associates Hospital, St. Joseph, TTO
– name: 2 General Surgery, Royal Victoria Infirmary, Newcastle upon Tyne, GBR
– name: 4 Clinical Surgical Sciences, The University of the West Indies, St. Augustine, TTO
– name: 1 General Surgery, General Hospital Port of Spain, Port of Spain, TTO
– name: 3 Surgery, The University of the West Indies, St. Augustine, TTO
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  article-title: The use of the Wittmann Patch facilitates a high rate of fascial closure in severely injured trauma patients and critically ill emergency surgery patients
  publication-title: J Trauma
  doi: 10.1097/TA.0b013e31818481f1
  contributor:
    fullname: Tieu BH
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Snippet During damage control laparotomy, surgery is abbreviated to allow for the correction of physiologic disturbances, with a plan to return to the operating...
SourceID pubmedcentral
crossref
SourceType Open Access Repository
Aggregation Database
SubjectTerms General Surgery
Trauma
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Title Managing the Open Abdomen in Damage Control Surgery: Should Skin-Only Closure be Abandoned?
URI https://pubmed.ncbi.nlm.nih.gov/PMC8261903
Volume 13
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