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| Format: | Artículo científico |
| Language: | en |
| Published: |
Universidad del Valle
2021
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| Online Access: | https://www.redalyc.org/articulo.oa?id=28366681007 https://www.redalyc.org/journal/283/28366681007/ https://www.redalyc.org/journal/283/28366681007/html/ https://www.redalyc.org/journal/283/28366681007/28366681007.epub https://www.redalyc.org/journal/283/28366681007/movil |
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Table of Contents:
- Damage control in penetrating duodenal trauma: less is better - the sequel Carlos A. Ordoñez Michael W. Parra Mauricio Millán Yaset Caicedo Natalia Padilla Alberto García María Josefa Franco Gonzalo Aristizábal Luis Eduardo Toro Luis Fernando Pino Adolfo González-Hadad, Mario Alain Herrera José Julián Serna Fernando Rodríguez-Holguín, Alexander Salcedo Claudia Orlas Mónica Guzmán-Rodríguez Fabian Hernández Ricardo Ferrada Rao Ivatury Medicina Duodenum Laparotomy Jejunostomy primary repair Trauma Centers The overall incidence of duodenal injuries in severely injured trauma patients is between 0.2 to 0.6% and the overall prevalence in those suffering from abdominal trauma is 3 to 5%. Approximately 80% of these cases are secondary to penetrating trauma, commonly associated with vascular and adjacent organ injuries. Therefore, defining the best surgical treatment algorithm remains controversial. Mild to moderate duodenal trauma is currently managed via primary repair and simple surgical techniques. However, severe injuries have required complex surgical techniques without significant favorable outcomes and a consequential increase in mortality rates. This article aims to delineate the experience in the surgical management of penetrating duodenal injuries via the creation of a practical and effective algorithm that includes basic principles of damage control surgery that sticks to the philosophy of “Less is Better”. Surgical management of all penetrating duodenal trauma should always default when possible to primary repair. When confronted with a complex duodenal injury, hemodynamic instability, and/or significant associated injuries, the default should be damage control surgery. Definitive reconstructive surgery should be postponed until the patient has been adequately resuscitated and the diamond of death has been corrected. 2021 reseña 0120-8322 https://www.redalyc.org/articulo.oa?id=28366681007 https://www.redalyc.org/journal/283/28366681007/ https://www.redalyc.org/journal/283/28366681007/html/ https://www.redalyc.org/journal/283/28366681007/28366681007.epub https://www.redalyc.org/journal/283/28366681007/movil 10.25100/cm.v52i2.4509 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.2 Vol.52