Controlling damage to the wound Laparotomy.docVIP

 PAGE \* MERGEFORMAT 13 Controlling damage to the wound Laparotomy [Abstract] severe trauma, especially trauma, has become the world’s public health problems. With the damage control surgery (damage control surgery, DCS) of the widely used, hospital patients with severe trauma survival time, but still faces abdominal compartment syndrome (abdominal compartment syndrome, ACS) and other complications of the threat and damage controlling laparotomy (damage control laparotomy, DCL) left open after the impatient, chronic abdominal trauma surgical wound has become the face of new challenges. As part of DCL, the standard three-stage treatment of abdominal wound therapy technology is the main method, including the first stage: implants, the second phase: planned ventral hernia, and the third stage: the certainty of abdominal wall reconstruction. [Keywords:] damage control laparotomy, wound treatment Abstract: Severe traumatic injury is a public health care problem, accounting for 12% of the global mortality.As damage control surgery (DCS) has been widely applied in trauma, it has prolonged survival time in the critically injured patients, but the complications, such as abdominal compartment syndrome (ACS), are recognized as a major cause of morbidity and mortality.Referring to management techniques, the fundamental issues are acute and chronic wound management of damage control laparotomy (DCL). As a part of DCL, a fairly standardized staged approach for abdominal wound has been developed.The three stages are prosthetic insertion, split thickness skin grafting for a “planned ventral hernia”, definitive reconstruction respectively. Keywords:: damage control; laparotomy; wound management Trauma, particularly severe trauma has become a public health problem in today’s world, accounting for about 12% of global mortality [1]. In recent years, with the understanding of severe trauma continues to improve, by correcting the intestinal bacterial translocation, ra