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Indications and Techniques for Trauma Laparotomy

  • Paulesh K. Shah

Abstract

A critical component of the evaluation of an injured patient is assessment for the presence of intra-abdominal injuries. If such injuries are identified or suspected, then a decision must be made as to whether operative exploration is indicated. While there are general guidelines, and a few absolute rules, in general the decision to proceed with laparotomy is dependent on multiple considerations, including mechanism of injury, physical examination, response to resuscitation, and results of lab tests and imaging. The goal is the rapid diagnosis and operative management of intra-abdominal injuries, to avoid missed injuries, but limit unnecessary diagnostic testing, delays, and nontherapeutic laparotomy.

Keywords

Trauma laparotomy Blunt trauma Penetrating trauma Mattox maneuver Cattell-Braasch maneuver Intra-abdominal packing Damage control Aortic exposure Aortic control Pringle maneuver 

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Paulesh K. Shah
    • 1
  1. 1.Trauma and Critical CareR Adams Cowley Shock Trauma CenterBaltimoreUSA

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