Evidence map›Paper›PMID 34908623›Full record

ReviewColombia medica (Cali, Colombia)

Reinterventions after damage control surgery.

David Mejia, Salin Pereira Warr, Carlos Andrés Delgado-López, Alexander Salcedo, Fernando Rodríguez-Holguín, José Julián Serna, Yaset Caicedo, Luis Fernando Pino, Adolfo González-Hadad, Mario Alain Herrera and 3 more

Open access · diamondAbstract readReview
PubMed Full text at PMC Publisher
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 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
0.2field-weighted citation impact, top 45% of its field
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

3 citing papers in PubMed, 1 synthesis or guideline pooled it, 4 citations in OpenAlex.

  1. Pooled it
  2. Review
  3. Article
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 at 6 institutions in 2 countries.

David MejiaHospital Pablo Tobon Uribe, Department of Surgery, Medellin, Colombia.ORCID 0000-0003-0617-4303
Salin Pereira WarrHospital Pablo Tobón Uribe, Grupo de Soporte Nutricional y Pared Abdominal, Medellin. Colombia.ORCID 0000-0002-8259-8274
Carlos Andrés Delgado-LópezUniversidad de Antioquia, Department of Surgery, Medellin, Colombia.ORCID 0000-0002-0341-9793
Alexander SalcedoFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0001-8187-0638
Fernando Rodríguez-HolguínFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0002-5326-2317
José Julián SernaFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0001-9829-8930
Yaset CaicedoFundación Valle del Lili, Centro de Investigaciones Clínicas (CIC), Cali, Colombia.ORCID 0000-0002-6128-0128
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
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
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
Michael W ParraBroward General Level I Trauma Center, Department of Trauma Critical Care, Fort Lauderdale, FL - USA.ORCID 0000-0001-6496-6275
Alberto GarcíaFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0002-4096-1434
Carlos A OrdoñezFundación Valle del Lili, Department of Surgery, Division of Trauma and Acute Care Surgery, Cali, Colombia.ORCID 0000-0003-4495-7405
Fundación Valle del Lili · COHospital Universitario del Valle ESE · COUniversidad de Antioquia · COBroward Health · USHospital Pablo Tobon Uribe · COUniversidad del Valle · CO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Damage control has well-defined steps. However, there are still controversies regarding whom, when, and how re-interventions should be performed. This article summarizes the Trauma and Emergency Surgery Group (CTE) Cali-Colombia recommendations about the specific situations concerning second interventions of patients undergoing damage control surgery. We suggest packing as the preferred bleeding control strategy, followed by unpacking within the next 48-72 hours. In addition, a deferred anastomosis is recommended for correction of intestinal lesions, and patients treated with vascular shunts should be re-intervened within 24 hours for definitive management. Furthermore, abdominal or thoracic wall closure should be attempted within eight days. These strategies aim to decrease complications, morbidity, and mortality.

Indexed as

Postoperative ComplicationsAnastomosis, SurgicalColombiaHumansRetrospective Studiesabdominal wallanastomosis surgicalcardiac surgical procedurescolostomyintensive care unitsintra-abdominal hypertensionLaparotomyostomypostoperative periodreoperationsurgical wound infectionthoracic cavity

Identifiers

PMID34908623
PMCPMC8634277
OpenAlexW3210354223

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

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.