• Colomb Medica · Apr 2021

    Review

    Reinterventions after damage control surgery.

    • David Mejia, WarrSalin PereiraSP0000-0002-8259-8274Hospital Pablo Tobón Uribe, Grupo de Soporte Nutricional y Pared Abdominal, Medellin. Colombia., Carlos Andrés Delgado-López, Alexander Salcedo, Fernando Rodríguez-Holguín, José Julián Serna, Yaset Caicedo, Luis Fernando Pino, Adolfo González-Hadad, Mario Alain Herrera, Michael W Parra, Alberto García, and Carlos A Ordoñez.
    • Hospital Pablo Tobon Uribe, Department of Surgery, Medellin, Colombia.
    • Colomb Medica. 2021 Apr 1; 52 (2): e4154805.

    AbstractDamage control has well-defined steps. However, there are still controversies regarding whom, when, and how re-interventions should be performed. This article summarizes the Trauma and Emergency Surgery Group (CTE) Cali-Colombia recommendations about the specific situations concerning second interventions of patients undergoing damage control surgery. We suggest packing as the preferred bleeding control strategy, followed by unpacking within the next 48-72 hours. In addition, a deferred anastomosis is recommended for correction of intestinal lesions, and patients treated with vascular shunts should be re-intervened within 24 hours for definitive management. Furthermore, abdominal or thoracic wall closure should be attempted within eight days. These strategies aim to decrease complications, morbidity, and mortality.Copyright © 2021 Colombia Medica.

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