• Mauricio Millán, Carlos A Ordoñez, Michael W Parra, Yaset Caicedo, Natalia Padilla, Luis Fernando Pino, Fernando Rodríguez-Holguín, Alexander Salcedo, Alberto García, José Julián Serna, Mario Alain Herrera, Laureano Quintero, Fabian Hernández, Carlos Serna, and González HadadAdolfoA0000-0001-5862-4906Universidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.Hospital Universitario del Valle, Department of Surgery, Division of Tr.
• Fundación Valle del Lili, Department of Surgery, Division of Transplant Surgery, Cali, Colombia.
• Colomb Medica. 2021 Apr 8; 52 (2): e4024592.

AbstractPenetrating torso trauma is the second leading cause of death following head injury. Traffic accidents, falls and overall blunt trauma are the most common mechanism of injuries in developed countries; whereas, penetrating trauma which includes gunshot and stabs wounds is more prevalent in developing countries due to ongoing violence and social unrest. Penetrating chest and abdominal trauma have high mortality rates at the scene of the incident when important structures such as the heart, great vessels, or liver are involved. Current controversies surround the optimal surgical approach of these cases including the use of an endovascular device such as the Resuscitative Endovascular Balloon Occlusion of the Aorta (REBOA) and the timing of additional imaging aids. This article aims to shed light on this subject based on the experience earned during the past 30 years in trauma critical care management of the severely injured patient. We have found that prioritizing the fact that the patient is hemodynamically unstable and obtaining early open or endovascular occlusion of the aorta to gain ground on avoiding the development of the lethal diamond is of utmost importance. Damage control surgery starts with choosing the right surgery of the right cavity in the right patient. For this purpose, we present a practical and simple guide on how to perform the surgical approach to penetrating torso trauma in a hemodynamically unstable patient.Copyright © 2021 Colombia Medica.

24 keywords...

hide…