Page 1 of 1: surgery--abbreviated laprotomy

DRATKINS · Credits: 8535 My Scrapbook

q.1-aims of abbreviated laprotomy--

1.less chances of infection
2.early ambulation
3.early wound healing
4.hemostasis

ans is 4th...does anybody 've refference///

gandalf · Credits: 8395 My Scrapbook

see if this helps....

SABISTON:
'The traditional approach to abdominal trauma is not applicable in devastating injuries. Repeated episodes of hypotension and organ hypoperfusion lead to severe metabolic acidosis, coagulopathy, and hypothermia that persist during the postoperative period despite adequate surgical treatment of multiple injuries. Recently, a new approach has been proposed in these circumstances. Damage control includes an abbreviated laparotomy and temporary packing and closure of the abdomen used as an effort to blunt the physiologic response to prolonged shock and massive hemorrhage. During the initial operation, bleeding and contamination are controlled using temporary measures. The abdomen is packed, temporarily closed, and reconstruction and repair are delayed. The patient is then transferred to an intensive care unit to be further resuscitated and rewarmed, acidosis and coagulopathy are corrected, and full physiologic support is instituted. When the patient is stable and organ function is maintained, usually 48 to 72 hours after the initial operation, the patient is taken back to the operating room for packing removal, debridement of nonviable tissue, and definitive repair......

DRATKINS · Credits: 8535 My Scrapbook

vow!!! bole to ans is haemostasis!!

BRAVO · Credits: 46105 My Scrapbook

thanks gandalf

gandalf · Credits: 8395 My Scrapbook

sure mate!!!

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