[Abbreviated laparotomy in patients with hemorrhagic shock].
Five cases of severe hemorrhagic shock of abdominal origin treated with abbreviated laparotomy due to the onset of hypothermia, acidosis and consumption coagulopathy are described. The abdomen was temporarily closed and the patients were transferred to these Intensive Therapy Unit for the treatment correction of these disorders. Patients were then re-operated on 30 hours after the reestablishment of vital functions. Clinical complications of hemorrhagic shock, in which the "Abbreviated Laparotomy" technique is applicable, are presented.
Doldo
G
G
Servizio di Anestesia e Rianimazione, Azienda Ospedaliera, Bianchi Melacrino Morelli, Reggio Calabria, Italy. gdoldo@tin.it
Albanese
I
I
Macheda
S
S
Caminiti
G
G
D000138:Acidosis / Q000209:etiology / Q000628:therapy; D001803:Blood Transfusion; D003422:Critical Care; D004211:Disseminated Intravascular Coagulation / Q000209:etiology / Q000628:therapy; D005260:Female; D006801:Humans; D007035:Hypothermia / Q000209:etiology / Q000628:therapy; D007431:Intraoperative Complications / Q000209:etiology / Q000628:therapy; D007813:Laparotomy / Q000379:methods*; D008297:Male; D012086:Reoperation; D012771:Shock, Hemorrhagic / Q000150:complications / Q000601:surgery*
La laparotomia abbreviata in pazienti con shock emorragico.