Priority Setting in Damage Control Surgery for Multiple Abdominal Trauma Following Resuscitative Endovascular Balloon Occlusion of the Aorta
Damage control surgery (DCS) is an abbreviated laparotomy procedure that focuses on controlling bleeding to limit the surgical insult. It has become the primary treatment modality for patients with exsanguinating truncal trauma. Herein, we present the case of a 47-year-old woman with liver, kidney,...
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| Format: | Article |
| Language: | English |
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Korean Society of Traumatology
2020-09-01
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| Series: | Journal of Trauma and Injury |
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| Online Access: | http://www.jtraumainj.org/upload/pdf/jti-2020-0040.pdf |
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| author | Yoonjung Heo Seok Won Lee Dong Hun Kim |
| author_facet | Yoonjung Heo Seok Won Lee Dong Hun Kim |
| author_sort | Yoonjung Heo |
| collection | DOAJ |
| description | Damage control surgery (DCS) is an abbreviated laparotomy procedure that focuses on controlling bleeding to limit the surgical insult. It has become the primary treatment modality for patients with exsanguinating truncal trauma. Herein, we present the case of a 47-year-old woman with liver, kidney, and superior mesenteric vein (SMV) injuries caused by a motor vehicle collision. The patient underwent DCS following resuscitative endovascular balloon occlusion of the aorta (REBOA). In this case report, we discuss the importance of priority setting in DCS for the treatment of multisystem damage of several abdominal organs, particularly when the patient has incurred a combination of major vascular injuries. We also discuss the implications of damage control of the SMV, perihepatic packing, and right-sided medial visceral rotation. Further understanding of DCS, along with REBOA as a novel resuscitation strategy, can facilitate the conversion of uniformly lethal abdominal injuries into rescuable injuries. |
| format | Article |
| id | doaj-art-63a4cc0dc8c4411cb87285c414ebc94c |
| institution | Kabale University |
| issn | 1738-8767 2287-1683 |
| language | English |
| publishDate | 2020-09-01 |
| publisher | Korean Society of Traumatology |
| record_format | Article |
| series | Journal of Trauma and Injury |
| spelling | doaj-art-63a4cc0dc8c4411cb87285c414ebc94c2025-02-03T11:12:23ZengKorean Society of TraumatologyJournal of Trauma and Injury1738-87672287-16832020-09-0133318118510.20408/jti.2020.00401033Priority Setting in Damage Control Surgery for Multiple Abdominal Trauma Following Resuscitative Endovascular Balloon Occlusion of the AortaYoonjung Heo0Seok Won Lee1Dong Hun Kim2 Department of Trauma Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea Department of Trauma Surgery, Trauma Center, Dankook University Hospital, Cheonan, Korea Department of Trauma Surgery, Trauma Center, Dankook University Hospital, Cheonan, KoreaDamage control surgery (DCS) is an abbreviated laparotomy procedure that focuses on controlling bleeding to limit the surgical insult. It has become the primary treatment modality for patients with exsanguinating truncal trauma. Herein, we present the case of a 47-year-old woman with liver, kidney, and superior mesenteric vein (SMV) injuries caused by a motor vehicle collision. The patient underwent DCS following resuscitative endovascular balloon occlusion of the aorta (REBOA). In this case report, we discuss the importance of priority setting in DCS for the treatment of multisystem damage of several abdominal organs, particularly when the patient has incurred a combination of major vascular injuries. We also discuss the implications of damage control of the SMV, perihepatic packing, and right-sided medial visceral rotation. Further understanding of DCS, along with REBOA as a novel resuscitation strategy, can facilitate the conversion of uniformly lethal abdominal injuries into rescuable injuries.http://www.jtraumainj.org/upload/pdf/jti-2020-0040.pdfmesenteric veinsliverkidneyballoon occlusionsurgical procedures, operative |
| spellingShingle | Yoonjung Heo Seok Won Lee Dong Hun Kim Priority Setting in Damage Control Surgery for Multiple Abdominal Trauma Following Resuscitative Endovascular Balloon Occlusion of the Aorta Journal of Trauma and Injury mesenteric veins liver kidney balloon occlusion surgical procedures, operative |
| title | Priority Setting in Damage Control Surgery for Multiple Abdominal Trauma Following Resuscitative Endovascular Balloon Occlusion of the Aorta |
| title_full | Priority Setting in Damage Control Surgery for Multiple Abdominal Trauma Following Resuscitative Endovascular Balloon Occlusion of the Aorta |
| title_fullStr | Priority Setting in Damage Control Surgery for Multiple Abdominal Trauma Following Resuscitative Endovascular Balloon Occlusion of the Aorta |
| title_full_unstemmed | Priority Setting in Damage Control Surgery for Multiple Abdominal Trauma Following Resuscitative Endovascular Balloon Occlusion of the Aorta |
| title_short | Priority Setting in Damage Control Surgery for Multiple Abdominal Trauma Following Resuscitative Endovascular Balloon Occlusion of the Aorta |
| title_sort | priority setting in damage control surgery for multiple abdominal trauma following resuscitative endovascular balloon occlusion of the aorta |
| topic | mesenteric veins liver kidney balloon occlusion surgical procedures, operative |
| url | http://www.jtraumainj.org/upload/pdf/jti-2020-0040.pdf |
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