Abbreviated laparotomy and planned reoperations in one severely injured patient.
被引:1
作者:
Chosidow, D
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机构:Hop Bichat, Serv Chirurg Digest, F-75018 Paris, France
Chosidow, D
Lesurtel, P
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h-index: 0
机构:Hop Bichat, Serv Chirurg Digest, F-75018 Paris, France
Lesurtel, P
Sauvat, F
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h-index: 0
机构:Hop Bichat, Serv Chirurg Digest, F-75018 Paris, France
Sauvat, F
Paugam, C
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h-index: 0
机构:Hop Bichat, Serv Chirurg Digest, F-75018 Paris, France
Paugam, C
Johanet, H
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机构:Hop Bichat, Serv Chirurg Digest, F-75018 Paris, France
Johanet, H
Marmuse, JP
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机构:Hop Bichat, Serv Chirurg Digest, F-75018 Paris, France
Marmuse, JP
Benhamou, G
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机构:Hop Bichat, Serv Chirurg Digest, F-75018 Paris, France
Benhamou, G
机构:
[1] Hop Bichat, Serv Chirurg Digest, F-75018 Paris, France
[2] Hop Bichat, Serv Reanimat Chirurg, F-75018 Paris, France
来源:
ANNALES DE CHIRURGIE
|
2000年
/
125卷
/
01期
关键词:
abdominal trauma;
planned reoperation;
D O I:
10.1016/S0003-3944(00)00292-3
中图分类号:
R61 [外科手术学];
学科分类号:
摘要:
Abbreviated laparotomy and planned reoperation(s) is a new concept in severely injured patients with multivisceral failure by hemorrhagic shock, coagulopathie and hypothermia. The aim of an abbreviated laparotomy is to control hemorrhage, prevent digestive contamination and close the abdominal wall without tension. After a delay for reanimation during 24 to 96 hours, discovery of unknown lesions and anatomic reconstruction will be possible through planned reoperation in better conditions. Emergency reoperation for hemorrhage and abdominal hyperpression severely worsens prognosis. (C) 2000 Editions scientifiques et medicales Elsevier SAS.