trauma-list Digest, Vol 67, Issue 43

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To all trauma-listers, a question from one of my partners:  
 
You have a damage control closure with a vac closure after a laparotomy for trauma without bowel injury (ie just spleen or liver, mesentery, whatever) - you take back in 24 to 48 hours and are able to close the fascia.  What do you do with the skin?  Leave open or staple closed?  
 
We're having a debate over this in our group. Older surgeons pack skin and subQ open, younger surgeons frequently close skin.
 
Mike Sise
San Diego

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