trauma-list Digest, Vol 67, Issue 43

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Staple closed.? Been out of fellowship 4 years...............Dell


Forrest "Dell" Moore, MD, FACS
Trauma Critical Care Surgery
Co-director Trauma & Surgical ICU
St. Joseph's Hospital and Medical Center
Phoenix, AZ
Cell 480 284 1703 

-----Original Message-----
From: Sise, Mike MD <Sise.Mike at scrippshealth.org>
To: trauma-list at trauma.org
Sent: Mon, 2 Feb 2009 9:39 pm
Subject: RE: trauma-list Digest, Vol 67, Issue 43



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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Sent: Tue 1/27/2009 12:35 AM
To: trauma-list at trauma.org
Subject: trauma-list Digest, Vol 67, Issue 43



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