Damage control surgery in diagnosis and treatment of sharp abdominal injury combined with multiple trauma

VernacularTitle:损害控制外科在腹部锐性损伤伴多发伤诊治中的应用
Author: Xuedong LI ; Baoyu LI ; Lijie HE ; Jianqiu CHEN ; Geliang XU ; Weihong LI
Publication Type:Journal Article
Keywords: Abdominal injuries; Multiple trauma; Damage control surgery
From: Chinese Journal of Trauma 2015;31(12):1097-1099
CountryChina
Language:Chinese
Abstract: Objective To evaluate the role of damage control surgery (DCS) in the diagnosis and treatment of sharp abdominal injury combined with multiple trauma.Methods Sixty patients with sharp abdominal injury accompanied by multiple trauma treated from January 2005 to August 2014 were reviewed retrospectively.There were 55 males and 5 females,aged at 15-79 years (mean,32.08 years).Thirty patients underwent definite operative treatment (control group),and 30 patients had DCS (DCS group).Between-group differences were examined in pre-and post-operative hemodynamic changes,function recovery,cure rate and complication incidence.Results All patients showed improved hemodynamic parameters after operation.The cure rate was 97％ (29/30) in DCS group versus 50％ (15/30) in control group (P ＜ 0.05).Complications were reported in 17％ (5) of the patients in DCS group versus 40％ (12) of the patients in control group (P ＜ 0.05).Conclusion DCS is associated with decreased rate of complications and increased cure rate in the treatment of sharp abdominal injury combined with multiple trauma.