title: [Damage control laparotomy for haemorragic abdominal trauma. A retrospective multicentric study about 109 cases].
abstract: OBJECTIVE
  Damage control laparotomy is a new approach to the more severe abdominal traumas. It stems from a better understanding of the physiopathology of the haemorragic shock.
  
  
  METHODS
  A national retrospective study from 27 centers about 109 trauma patients who underwent a damage control procedure between January 1990 and December 2001, is analysed. Surgical procedures included 97 hepatic packing, 10 abdominal packing, 4 exclusive skin closure, 1 open laparotomy technique and 3 digestive stapplings.
  
  
  RESULTS
  The mortality rate is 42%. Eleven abdominal compartment syndromes have occurred with 7 decompressive laparomy (4 deaths).
  
  
  CONCLUSIONS
  This study is based on the largest series of damage control laparotomy published in France. Results in terms of mortality and morbidity are similar to those of published studies from the USA.
authors.affiliation: Service de chirurgie générale et digestive, centre hospitalier universitaire (CHU) de Grenoble, 38043 cedex, Grenoble, France. carvieux@chu-grenoble.fr <carvieux@chu-grenoble.fr>
authors.forename: C
authors.initials: C
authors.lastname: Arvieux
authors.forename: N
authors.initials: N
authors.lastname: Cardin
authors.forename: L
authors.initials: L
authors.lastname: Chiche
authors.forename: P
authors.initials: P
authors.lastname: Bachellier
authors.forename: D
authors.initials: D
authors.lastname: Falcon
authors.forename: Ch
authors.initials: Ch
authors.lastname: Letoublon
authors.forename: P
authors.initials: P
authors.lastname: Alliot
authors.forename: A
authors.initials: A
authors.lastname: Batoko
authors.forename: F
authors.initials: F
authors.lastname: Bouchard
authors.forename: J L
authors.initials: JL
authors.lastname: Caillot
authors.forename: J
authors.initials: J
authors.lastname: Cancel
authors.forename: D
authors.initials: D
authors.lastname: Chosidow
authors.forename: P
authors.initials: P
authors.lastname: Delannoy
authors.forename: E
authors.initials: E
authors.lastname: Desroche
authors.forename: J L
authors.initials: JL
authors.lastname: Faucheron
authors.forename: F
authors.initials: F
authors.lastname: Guillon
authors.forename: Y
authors.initials: Y
authors.lastname: Laborde
authors.forename: F
authors.initials: F
authors.lastname: Lachachi
authors.forename: E P
authors.initials: EP
authors.lastname: Lavagne
authors.forename: E
authors.initials: E
authors.lastname: Lebhar
authors.forename: P
authors.initials: P
authors.lastname: Michel
authors.forename: O
authors.initials: O
authors.lastname: Risse
authors.forename: C
authors.initials: C
authors.lastname: Sengel
authors.forename: G
authors.initials: G
authors.lastname: Weill
mesh_terms: D000007:Abdominal Injuries / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D017677:Age Distribution; D000368:Aged; D001530:Belgium / Q000453:epidemiology; D002648:Child; D019299:Decompression, Surgical / Q000379:methods; D005260:Female; D005602:France / Q000453:epidemiology; D006470:Hemorrhage / Q000209:etiology / Q000401:mortality / Q000601:surgery*; D006801:Humans; D015601:Injury Severity Score; D007813:Laparotomy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009104:Multiple Trauma / Q000150:complications / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D018579:Patient Selection; D012151:Resuscitation / Q000379:methods*; D012189:Retrospective Studies; D012307:Risk Factors; D017792:Surgical Stapling / Q000379:methods; D016019:Survival Analysis; D013536:Suture Techniques; D013997:Time Factors; D014194:Traumatology / Q000379:methods*; D016896:Treatment Outcome; D014416:Tunisia / Q000453:epidemiology