TY  - CHAP
M1  - Book, Section
TI  - Trauma Laparotomy: Principles and Techniques
A1  - Bowman, Jessica A.
A1  - Jurkovich, Gregory J.
A2  - Feliciano, David V.
A2  - Mattox, Kenneth L.
A2  - Moore, Ernest E.
PY  - 2020
T2  - Trauma, 9e
AB  - KEY  POINTSWide  prepping  and  draping  allow  the  surgeon  access  to  the  chest  and  the  groin  to  complete  all  necessary  procedures.The  trauma  laparotomy  should  be  performed  in  a  routine,  systematic  manner,  minimizing  the  likelihood  of  missed  injuries.Damage  control  laparotomy  focuses  on  immediate  control  of  hemorrhage  and  contamination,  followed  by  goal-directed  resuscitation,  reversal  of  coagulopathy,  rewarming,  and  delayed  definitive  repair.Preperitoneal  packing  is  proving  to  be  a  quick,  efficient  method  to  control  zone  III  hematomas.A  quality  fascial  closure  helps  prevent  future  morbidity  associated  with  dehiscence,  evisceration,  and  hernias.Surgeons  should  use  laparotomy  pads  with  a  radiofrequency  detection  system  or  obtain  abdominal  and  pelvic  x-rays  prior  to  definitive  closure  to  decrease  the  risk  of  retaining  foreign  bodies.  
SN  - 
PB  - McGraw Hill
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesssurgery.mhmedical.com/content.aspx?aid=1175137918
ER  -