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Soft-Tissue Reconstructive Considerations in the Damage Control Environment

  • Graham Lawton
Chapter

Abstract

Trauma is a leading cause of mortality and morbidity accounting for 11% of the global burden of disease [1]. Worldwide 16,000 people succumb to injuries everyday [2] with a similar number of fatalities every year in England and Wales as described by the Office for National Statistics, London, in 2011. For every trauma death, there are two survivors with serious and debilitating injuries. In 2004, approximately 30 million Americans were treated for a nonfatal injury in emergency medicine departments, of these, 2 million required in-patient care [3]. In the landmark 1985 publication Injury in America, one in every eight hospital beds was occupied by an injured patient.

Keywords

Damage control Damage control reconstructive surgery Debridement Degloving Limb decompression Topical negative pressure Fasciotomy 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Academic Department Military Surgery and Trauma, Honorary Clinical Senior Lecturer Imperial CollegeImperial College Healthcare NHS Trust, St Mary’s HospitalLondonUK

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