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[DOWNLOAD] "Predicting Mortality in Damage Control Surgery for Major Abdominal Trauma (Trauma) (Clinical Report)" by South African Journal of Surgery " Book PDF Kindle ePub Free

Predicting Mortality in Damage Control Surgery for Major Abdominal Trauma (Trauma) (Clinical Report)

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eBook details

  • Title: Predicting Mortality in Damage Control Surgery for Major Abdominal Trauma (Trauma) (Clinical Report)
  • Author : South African Journal of Surgery
  • Release Date : January 01, 2010
  • Genre: Health & Fitness,Books,Health, Mind & Body,
  • Pages : * pages
  • Size : 211 KB

Description

Over the past two decades, damage control surgery (DCS) rather than definitive repair of all injuries has become established as the appropriate surgical strategy in the severely injured patient needing operative intervention. This change has increased the survival rate after major trauma to over 50%. (1-6) The term 'damage control' was defined by Rotondo et al. (4) in 1993 as 'initial control of hemorrhage and contamination followed by intra-peritoneal packing and rapid closure, resuscitation to normal physiology in the intensive care unit (ICU) and subsequent definitive re-exploration'. Two further stages have been added to the three traditional stages of operation, restoration of physiology and definitive surgery. These comprise the first stage, namely the decision as to when to perform DCS, and the final stage of abdominal wall closure. (7) However, little appears to have been documented on factors predicting mortality in this setting.


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