• Fernando Rodríguez-Holguín, 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, David Mejia, Alberto García, Cecibel Cevallos, Amber Nicole Himmler, Yaset Caicedo, Alexander Salcedo, José Julián Serna, Mario Alain Herrera, Luis Fernando Pino, Michael W Parra, and Carlos A Ordoñez.
• Fundación Valle del Lili. Department of Surgery. Division of Trauma and Acute Care Surgery, Cali, Colombia.
• Colomb Medica. 2021 Apr 1; 52 (2): e4144777.

AbstractDamage control surgery principles allow delayed management of traumatic lesions and early metabolic resuscitation by performing abbreviated procedures and prompt resuscitation maneuvers in severely injured trauma patients. However, the initial physiological response to trauma and surgery, along with the hemostatic resuscitation efforts, causes important side effects on intracavitary organs such as tissue edema, increased cavity pressure, and hemodynamic collapse. Consequently, different techniques have been developed over the years for a delayed cavity closure. Nonetheless, the optimal management of abdominal and thoracic surgical closure remains controversial. This article aims to describe the indications and surgical techniques for delayed abdominal or thoracic closure following damage control surgery in severely injured trauma patients, based on the experience obtained by the Trauma and Emergency Surgery Group (CTE) of Cali, Colombia. We recommend negative pressure dressing as the gold standard technique for delayed cavity closure, associated with higher wall closure success rates and lower complication and mortality rates.Copyright © 2021 Colombia Medica.

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