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Phase IV: Late Reconstruction – Abdominal/Chest Wall Closure

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Damage Control Management in the Polytrauma Patient

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Abstract

Damage control laparotomy is a mainstay of trauma surgery. The physiologic consequences of multiple devastating injuries often preclude definitive management of every injury at the index operation. The threat of intra-abdominal hypertension and the possibility of abdominal compartment syndrome in the context of an abdomen closed under tension make primary abdominal closure at initial laparotomy untenable for some patients [1–5]. The most desirable outcome for the patient would be primary or delayed primary closure during the index hospitalization.

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Authors and Affiliations

  1. Department of Surgery, University of Tennessee Health Science Center, Memphis, Tennessee, USA

    Whitney M. Guerrero & Timothy C. Fabian

Authors
  1. Whitney M. Guerrero
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  2. Timothy C. Fabian
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Corresponding author

Correspondence to Whitney M. Guerrero .

Editor information

Editors and Affiliations

  1. Department of Trauma, Zurich University, Zurich, Switzerland

    Hans-Christoph Pape

  2. Division of General Surgery, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, USA

    Andrew B. Peitzman

  3. Department of Surgery, Division of Acute Care Surgery, University of Rochester, Medical Center, Rochester, New York, USA

    Michael F. Rotondo

  4. Department of Academic Trauma & Orthopaedics, University of Leeds, Leeds, West Yorkshire, United Kingdom

    Peter V. Giannoudis

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Guerrero, W.M., Fabian, T.C. (2017). Phase IV: Late Reconstruction – Abdominal/Chest Wall Closure. In: Pape, HC., Peitzman, A., Rotondo, M., Giannoudis, P. (eds) Damage Control Management in the Polytrauma Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-52429-0_20

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  • DOI: https://doi.org/10.1007/978-3-319-52429-0_20

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-52427-6

  • Online ISBN: 978-3-319-52429-0

  • eBook Packages: MedicineMedicine (R0)

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