Application of damage control surgery for severe abdominal trauma.
- Author:
Qing-wen LIU
1
;
Bin-jing ZHOU
;
Hong-xing QIN
;
Kang SUN
Author Information
- Publication Type:Journal Article
- MeSH: Abdominal Injuries; surgery; Adult; Female; Humans; Male; Retrospective Studies; Treatment Outcome
- From: Chinese Journal of Gastrointestinal Surgery 2011;14(7):506-508
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the value of damage control surgery(DCS) for severe abdominal trauma.
METHODSForty-six patients with severe abdominal trauma were treated according to DCS principles and 58 patients were not. Clinical data of the two groups were analyzed retrospectively. DCS included simple surgery, resuscitation, and definitive operation.
RESULTSPerioperative morality was 15.2%(7/46) in the DCS group and 34.5%(20/58) in the non-DCS group, and the difference was statistically significant(χ²=4.954, P=0.026). The perioperative complication rate was 37.0%(17/46) in the DCS group and 67.2%(39/58) in the non-DCS group, and the difference was statistically significant(χ²=9.468, P=0.002).
CONCLUSIONDamage control surgery can reduce perioperative morbidity and mortality in patients with severe abdominal trauma, and its efficacy is satisfactory.