To close or not to close, that is one of the questions? Perceptions of Trauma Association of Canada surgical members on the management of the open abdomen

The Journal of Trauma
Shahzeer KarmaliAndrew W Kirkpatrick

Abstract

The optimal abdominal closure in critically ill surgical/trauma patients remains controversial with a wide variety of commonly employed techniques. We sought to evaluate clinical equipoise by surveying Canadian surgeons regarding the use of temporary abdominal closure strategies in damage control and emergency situations. A structured mixed-mode (Website and paper), scenario-based questionnaire was developed by members of the Canadian Trauma Trials Collaborative and directed to surgical members of the Trauma Association of Canada (TAC). The overall response rate was 84% (86 out of 102). In resuscitated hemodynamically stable trauma patients, 42% (29 out of 69) of respondents elected to primarily close an "extremely tight" abdominal cavity while only 23% (16 out of 70) would primarily close the same patient when physiologic exhaustion (Damage control (DC) conditions-hypothermia, acidosis, and coagulopathy) supervened. Although the majority reported preference for temporizing abdominal closures [73% (51 out of 70) non-DC, 75% (52 out of 69) DC] when the fascia was physically impossible to close; the reported primary use of mesh in these situations was quite high [24.6% (17 out of 69) non-DC, 24% (16 out of 69) DC], including a re...Continue Reading

References

Sep 1, 1990·Plastic and Reconstructive Surgery·O M RamirezA L Dellon
Aug 1, 1980·Annals of Surgery·E E HrabovskyE T Boles
Nov 1, 1982·Annals of Surgery·P K HarmanS P Nolan
Nov 1, 1995·The Journal of Trauma·L S SasakiV K Mittal
May 1, 1993·Annals of Surgery·J A MorrisK W Sharp
Aug 1, 1996·The Surgical Clinics of North America·J M BurchR Franciose
Aug 1, 1997·The Surgical Clinics of North America·K L Mattox
Aug 1, 1997·The Surgical Clinics of North America·R R IvaturyR J Simon
Sep 25, 1997·Archives of Surgery·J C MayberryD D Trunkey
Feb 17, 1998·The Journal of Trauma·N EshraghiD D Trunkey
Nov 5, 1999·Obstetrics and Gynecology·V E von GruenigenD S Miller
May 24, 2001·The Journal of Trauma·D DemetriadesUNKNOWN Committee on Multicenter Clinical Trials. American Association for the Surgery of Trauma
Mar 6, 2002·Journal of Pediatric Surgery·Michele A MarkleyDavid W Tuggle
Jan 9, 2003·Journal of the American College of Surgeons·Tammo S de Vries ReilinghRobert P Bleichrodt
Sep 23, 2003·The Journal of Trauma·Andrew W KirkpatrickAnna M Ledgerwood
May 7, 2004·The Journal of Trauma·Marco Chavarria-AguilarRobert A Maxwell

❮ Previous
Next ❯

Citations

Sep 15, 2011·Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine·Sigrid GrovenChristine Gaarder
Jul 5, 2013·Medical Science Monitor : International Medical Journal of Experimental and Clinical Research·Barbara E KreisRobert W Kreis
Jan 21, 2011·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·F HerrleM Niedergethmann
Feb 24, 2016·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Steven G StrangUNKNOWN IAH-ACS Study Group
Jan 1, 2007·Acta Clinica Belgica·M SugrueK A Kolkman
Jun 19, 2007·International Journal of Surgery·Stylianos GermanosNikolaos Salemis
Jun 17, 2016·World Journal of Emergency Surgery : WJES·Joao Rezende-NetoSandro Rizoli
Feb 23, 2017·The Journal of Trauma and Acute Care Surgery·Justin Jeremiah Joseph WatsonMartin A Schreiber
Feb 13, 2018·World Journal of Emergency Surgery : WJES·Federico CoccoliniFausto Catena
Aug 30, 2012·The Journal of Trauma and Acute Care Surgery·Derek J RobertsAndrew W Kirkpatrick
May 23, 2014·Monash Bioethics Review·Mark Rankin
May 2, 2014·Annals of the Royal College of Surgeons of England·J De SiqueiraJ Garner
Aug 18, 2017·World Journal of Emergency Surgery : WJES·Federico CoccoliniLuca Ansaloni
Jun 15, 2007·Annals of Saudi Medicine·Robert B Sanda
Mar 13, 2021·World Journal of Emergency Surgery : WJES·Derek J RobertsUNKNOWN Indications for Trauma Damage Control Surgery International Study Group

❮ 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.