Damage control laparotomy for exsanguinating penetrating abdominal trauma.
Damage control, defined as initial control of haemorrhage and contamination with intra-peritoneal packing and rapid closure, allows the resuscitation to normal physiology in the intensive care unit and subsequent definitive re-exploration. A case of penetrating abdominal trauma with extensive hepatic, interior vena cava and pancreatico-duodenal injuries, was managed on the principles of damage control on the first laparotomy and definitive procedure of pancreaticoduodenectomy was delayed and performed after 48 hours.
Bari
Vaqar
V
Department of General Surgery, Combined Military Hospital, Kharian.
Bashir
Eitezaz Ahmad
EA
Murtaza
Badar
B
Rashid
Muhammad Misbah
MM
Hussain
Zahid
Z
D000007:Abdominal Injuries / Q000601:surgery*; D002648:Child; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008099:Liver / Q000293:injuries; D008297:Male; D009104:Multiple Trauma / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D014682:Vena Cava, Inferior / Q000601:surgery; D014948:Wounds, Gunshot / Q000601:surgery*