Rodríguez-Chávez JL, Madrigal-Rodríguez VM, Bañuelos-Franco A, Malagón-Reyes RM

Language: Spanish
References: 10
Page: 158-163
PDF size: 551.97 Kb.

ABSTRACT

Damage Control treated Surgery temporary measures (set of simple surgical procedures to physiological stabilization of critical patients), implemented as part of a phased approach to a complex problem. Objectives: To describe the clinical-surgical and imaging fi ndings. Clinical follow a patient complicated obstetric: Preeclampsia late on set in hypertensive emergency de novo and presenting multiple organ dysfunction syndrome. Method: Case report and literature review. Term pregnancy, denoted in the early postpartum pain “in bar Chaussier” hypertensive emergency and impaired alertness, activated “Mater Code” is clinically objective abdomen Sharp and biochemically associated with dysfunction multiple organ syndrome and exploratory laparotomy is decided Damage Control Surgery Protocol “DCS”. Result: Our institutional experience, from creation as a routine practice with high scientifi c evidence the “damage control surgery” signifi cant reduction in morbidity and mortality. Conclusions: We propose that part of the curriculum specialist in obstetrics and gynecology surgery scheduled contemplates the damage control approach. Creation of rapid response teams. Clinical training models of low and high fi delity.

REFERENCES

1. Weber DG, Bendinelli, C, Balogh, ZJ. Damage control surgery for abdominal emergencies. BJS 2014; 101: e109–e118

2. Godat. et al. Abdominal damage control surgery and reconstruction: world society of emergency surgery position paper. World Journal of Emergency Surgery 2013 8:53.

3. Parr et al. Damage control surgery and intensive care. Injury, Int. J. Care Injured 2004; 35: 713—722.

4. Waibel et al. Damage control in trauma and abdominal sepsis. Crit Care Med 2010; 38:421–430.

5. Tavares-de la Paz et al. Abdomen abierto. Evolución en su manejo, cir ciruj 2008;76:177-186.

6. Dooley RN, Weiberg, BS, Jordan. Body Mass Index Aff ects Time to Defi nitive Closure Aft er Damage Control Surgery. J Trauma. 2009; 66:1683–1687.

7. Escobar MF, Garcia A, Fonseca J. Cirugía de control de daños: Un concepto aplicable en ginecología y obstetricia. Colomb Med 2005; 36: 110-114.

8. McAlister et al. Catastrophe surgery: response to multiple casualties or individual patients with devastating injuries Can J Surg, 2009;53(3) 175-176.

9. Iñaguazo Sánchez et al. Cirugía de control de daños: alternativa quirúrgica efi caz para el trauma hepático grave. Rev Cubana Cir, 2007; 46-48

10. Malagón Reyes RM, et al. Experience of the MALA bag in the open abdomen management, Acta Med Port 2013 Nov- Dec;26(6):699-704.