Damage Control Thoracotomy: A Systematic Review of Techniques and Outcomes
نویسندگان
چکیده
Abstract Background : Damage control surgery is the practice of delaying definitive management traumatic injuries by controlling hemorrhage in operating room and restoring normal physiology intensive care unit prior to therapy. Presently, damage or “abbreviated” laparotomy used extensively for abdominal trauma an unstable patient. The application a approach thoracic less established there paucity literature supporting refuting this practice. We aimed systematically review current data on thoracotomy (DCT), identify gaps techniques temporary closure. Methods An electronic search Pubmed, MEDLINE, Cochrane Database Collected Reviews from 1972-2018 was performed using keywords “thoracic,” “damage control,” “thoracotomy.” Studies were included if they reported use DCT following survival as outcome. Results Of 723 studies, seven met inclusion criteria total 130 operations. Gauze packing with closure skin suture most frequently form overall rate studies 67%. Survival rates ranged 42-77%. Average injury severity score 30, 64% penetrating nature. common complications infections (57%; pneumonia, empyema, wound infection, bacteremia), respiratory failure (21%), ARDS (8%), renal (18%). Conclusion may be associated improved critically injured patient population. Delaying operation temporarily closing thorax order allow time restore considered strategy impact open chest has remains inconclusive well best mechanisms Multi-center are required elucidate these important questions.
منابع مشابه
Suture techniques of the intercostal space in thoracotomy and their relationship with post-thoracotomy pain: a systematic review.
Post-thoracotomy pain is a symptom of high incidence among patients who have undergone thoracotomy and is a major risk factor in the pathogenesis of several postoperative complications. Chronic pain after thoracotomy reaches a high prevalence. Since the earliest studies, this pain has been seen to be related with intercostal nerve injury, thus the need to avoid these lesions during thoracotomy ...
متن کاملPerinatal Outcomes of Idiopathic Polyhydramnios with Normal Ultrasound: A Systematic Review and Meta-Analysis
Background: Incidence of polyhydramnios in various studies has been reported from 0.2 to 3.9%. Approximately, 50-60% of cases are idiopathic with no known etiology. We aimed to investigate perinatal outcomes of idiopathic polyhydramnios with a normal ultrasound. Materials and Methods: In this study, Persian and English databases including Barakatkns, SID, Magiran, Medline, Science Direct, Scopu...
متن کاملMaternal Anemia and Pregnancy outcomes: a Systematic Review and Meta-Analysis
Background The aim of this study was to determine the relationship between maternal anemia during pregnancy and pregnancy outcomes. Materials and Methods This systematic review was conducted in domestic (Sid, Iran.doc, Iran medex and Magiran) and international (PubMed, Science Direct, Cochrane, Medline, Web of Science, Scopus, Springer, Embase, Google scholar) databases from January 1, 1990 t...
متن کاملCOVID-19 Risk Perception and its Related Factors and Outcomes in Vulnerable Groups: A Systematic Review
متن کامل
A review of Rock Burst’s Experimental Progress, Warning, Prediction, Control and Damage Potential Measures
Rock burst is the most attractive and hot research area in geomechanics, mining, and civil engineering due to the increasing depth of mines and construction of deep underground structures. It has also been a severe problem in ground control measures in the last few decades. Many studies have been done by different researchers in order to minimize the hazards of rock burst and to provide a safe ...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
ژورنال
عنوان ژورنال: Injury-international Journal of The Care of The Injured
سال: 2021
ISSN: ['1879-0267', '0020-1383']
DOI: https://doi.org/10.1016/j.injury.2020.12.020