A Successful Damage Control Surgery in a 20-Years-old Male with Penetrating Abdominal Trauma: A Case Report
نویسندگان
1 Department of Surgery, Tabriz University of Medical Sciences, Tabriz, Iran.
2 Student Research Committee, Tabriz University of Medical Sciences.
3 Department of Surgery, Tabriz University of Medical Sciences, Tabriz, Iran.
4 Student Research Committee, Tabriz University of Medical Sciences
doi
10.32592/ircmj.2022.24.2.803چکیده
Introduction: Damage Control Laparotomy (DCL) is an appropriate technique in approaching patients with critical injuries. Case Presentation: We report a case of road traffic injury in a 20-years-old male presented with penetrating abdominal trauma caused by a metal tube. The DCL was performed and the patient was stabilized. Re-exploration was carried out and the patient was discharged on the 33rd day with peroneal nerve palsy and no other associated complications. Conclusion: Three main causes of mortality in severely injured patients are coagulopathy, hypothermia, and metabolic acidosis. These factors make a vicious cycle that leads to metabolic status disruptions and a high rate of mortality. The DCL consists of an initial laparotomy that is limited to the control of hemorrhage and contamination, followed by intra-abdominal packing. Minimizing the first operation to vital tasks can save lives that may be lost otherwise.
