Experience of damage control trauma laparotomy in a limited resource healthcare setting: A retrospective Cohort Study

International Journal of Surgery
Mehreen KisatHasnain Zafar

Abstract

Damage control surgery (DCS) is an established option for managing severely injured trauma patients. However, its role in the management of similar patients in the developing world is debatable. The purpose of this study is to describe characteristics and outcomes of patients undergoing DCS. All trauma patients requiring laparotomies from 1996 to 2011 at a tertiary care hospital in South Asia were reviewed. DCS was defined in a patient who underwent a truncated laparotomy where the fascia was primarily left open, with the intention of physiological optimization in the Intensive Care Unit, followed by definitive surgery. The primary outcome was in-hospital mortality. Multivariate logistic regression was used to determine the independent predictors of mortality after adjustment for potential confounders. Of 258 patients, 47 underwent DCS. 40% patients were transferred from other hospitals. The time between injury and operation was 152 minutes (IQR: 90-330). Intra-operative laboratory parameters revealed a median pH of 7.16 (IQR: 7.10-7.27), median temperature of 34.7 (IQR: 34.0-35.4) and median PT of 15.9 (IQR: 12.4-21.2). 55% of the patients survived to discharge from hospital. Of those who died, 86% died before the first take b...Continue Reading

References

Jan 1, 1978·American Journal of Surgery·A J Walt
Jun 1, 1976·The Journal of Trauma·C E Lucas, A M Ledgerwood
Apr 1, 1981·The Journal of Trauma·D V FelicianoG L Jordan
Oct 27, 1994·The New England Journal of Medicine·W H BickellK L Mattox
Oct 1, 1993·The Journal of Trauma·D AbramsonJ Greenspan
Aug 1, 1997·The Surgical Clinics of North America·M F Rotondo, D H Zonies
Dec 5, 1998·World Journal of Surgery·E E MooreW L Biffl
Nov 22, 2000·The Journal of Trauma·M B ShapiroM F Rotondo
Aug 9, 2001·The Journal of Trauma·J W JohnsonM F Rotondo
Sep 3, 2002·Emergency Medicine Journal : EMJ·H ZafarM Ahmed
Jan 15, 2004·Asian Journal of Surgery·Afzal Ali JatSaad Bashir
Jun 19, 2004·Injury·Michael J A Parr, Tareq Alabdi
May 16, 2006·Journal of Intensive Care Medicine·Scott G SagravesMichael F Rotondo
Jul 1, 2006·Current Opinion in Critical Care·John C Lee, Andrew B Peitzman
Jun 9, 2009·BMJ : British Medical Journal·Jan O JansenAdam Brooks
Oct 12, 2010·International Journal of Surgery·Shahryar NoordinMuhammad Abdul Wajid
Jun 20, 2013·The Journal of Trauma and Acute Care Surgery·Zain G HashmiHasnain Zafar
Apr 14, 2015·International Journal of Surgery·Adil Aijaz ShahHasnain Zafar
Apr 22, 2015·The Journal of Surgical Research·Adil Aijaz ShahHasnain Zafar

❮ Previous
Next ❯

Citations

Jun 29, 2018·Journal of the Royal Army Medical Corps·Ross D WealeD Clarke

❮ Previous
Next ❯

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.

Related Papers

The British Journal of Surgery
I G FinlayA W Lambert
Journal of Burn Care & Research : Official Publication of the American Burn Association
Mark O HardinChristopher E White
The Journal of Trauma and Acute Care Surgery
Gisela De La RosaGrupo de Investigacion en Cuidado Intensivo GICI-HPTU
South African Journal of Surgery. Suid-Afrikaanse Tydskrif Vir Chirurgie
Joep TimmermansPradeep Navsaria
© 2022 Meta ULC. All rights reserved