Evidence map›Paper›PMID 34908622›Full record

ReviewColombia medica (Cali, Colombia)

Abdominal and thoracic wall closure: damage control surgery's cinderella.

Fernando Rodríguez-Holguín, Adolfo González Hadad, David Mejia, Alberto García, Cecibel Cevallos, Amber Nicole Himmler, Yaset Caicedo, Alexander Salcedo, José Julián Serna, Mario Alain Herrera and 3 more

Abstract readReview
In one paragraph

Review in Colombia medica (Cali, Colombia). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Trial
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Fernando Rodríguez-HolguínFundación Valle del Lili. Department of Surgery. Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0002-5326-2317
Adolfo González HadadUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery. Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0001-5862-4906
David MejiaHospital Pablo Tobon Uribe, Department of Surgery, Medellín, Colombia.ORCID 0000-0003-0617-4303
Alberto GarcíaFundación Valle del Lili. Department of Surgery. Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0002-4096-1434
Cecibel CevallosHospital Vicente Corral Moscoso. Department of Surgery. Division of Trauma and Acute Care Surgery, Cuenca, Ecuador.ORCID 0000-0002-0364-0121
Amber Nicole HimmlerMedstar Georgetown University Hospital and Washington Hospital Center. Department of Surgery, Washington, D.C., USA.ORCID 0000-0001-7180-5787
Yaset Caicedo, Fundación Valle del Lili, Centro de Investigaciones Clínicas (CIC)Cali, Colombia.ORCID 0000-0002-6128-0128
Alexander SalcedoFundación Valle del Lili. Department of Surgery. Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0001-8187-0638
José Julián SernaFundación Valle del Lili. Department of Surgery. Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0001-9829-8930
Mario Alain HerreraUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery. Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0002-4526-7636
Luis Fernando PinoUniversidad del Valle, Facultad de Salud, Escuela de Medicina, Department of Surgery. Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0002-1179-2854
Michael W ParraBroward General Level I Trauma Center, Department of Trauma Critical Care, Fort Lauderdale, FL - USA.ORCID 0000-0001-6496-6275
Carlos A OrdoñezFundación Valle del Lili. Department of Surgery. Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0003-4495-7405

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Damage control surgery principles allow delayed management of traumatic lesions and early metabolic resuscitation by performing abbreviated procedures and prompt resuscitation maneuvers in severely injured trauma patients. However, the initial physiological response to trauma and surgery, along with the hemostatic resuscitation efforts, causes important side effects on intracavitary organs such as tissue edema, increased cavity pressure, and hemodynamic collapse. Consequently, different techniques have been developed over the years for a delayed cavity closure. Nonetheless, the optimal management of abdominal and thoracic surgical closure remains controversial. This article aims to describe the indications and surgical techniques for delayed abdominal or thoracic closure following damage control surgery in severely injured trauma patients, based on the experience obtained by the Trauma and Emergency Surgery Group (CTE) of Cali, Colombia. We recommend negative pressure dressing as the gold standard technique for delayed cavity closure, associated with higher wall closure success rates and lower complication and mortality rates.

Indexed as

Abdominal InjuriesThoracic WallColombiaHumansDamage Control SurgeryDelayed Cavity ClosureHemodynamically UnstableNegative Pressure DressingOpen AbdomenTemporary ClosureThoracic Packing

Identifiers

PMID34908622
PMCPMC8634273

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.