• C Arvieux, N Cardin, L Chiche, P Bachellier, D Falcon, Ch Letoublon, P Alliot, A Batoko, F Bouchard, J L Caillot, J Cancel, D Chosidow, P Delannoy, E Desroche, J L Faucheron, F Guillon, Y Laborde, F Lachachi, E P Lavagne, E Lebhar, P Michel, O Risse, C Sengel, and G Weill.
• Service de chirurgie générale et digestive, centre hospitalier universitaire (CHU) de Grenoble, 38043 cedex, Grenoble, France. carvieux@chu-grenoble.fr <carvieux@chu-grenoble.fr>
• Ann Chir. 2003 Apr 1; 128 (3): 150-8.

Aim Of The StudyDamage control laparotomy is a new approach to the more severe abdominal traumas. It stems from a better understanding of the physiopathology of the haemorragic shock.Patients And MethodsA national retrospective study from 27 centers about 109 trauma patients who underwent a damage control procedure between January 1990 and December 2001, is analysed. Surgical procedures included 97 hepatic packing, 10 abdominal packing, 4 exclusive skin closure, 1 open laparotomy technique and 3 digestive stapplings.ResultsThe mortality rate is 42%. Eleven abdominal compartment syndromes have occurred with 7 decompressive laparomy (4 deaths).ConclusionThis study is based on the largest series of damage control laparotomy published in France. Results in terms of mortality and morbidity are similar to those of published studies from the USA.

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