trauma-list Digest, Vol 67, Issue 43

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Staple closed.

On 02/03/2009, jduchesne1 <jduchesn at tulane.edu> wrote:
>
> Mike- Good to hear from you.
> I try my best here at Charity not to close skin in the presence of any
> enteric injury in damage control patients. I personally leave the wound open
> with delay closure prior to discharge. My rationale is the following: by
> post-trauma day 5-7 when the patient start spiking fever then u have too
> many variables to rule out the source of sepsis, which will increase the
> need for unnecessary CT scans and VOMIT's. Keep it simple :)
> Juan
> CharityOne-NO
> Sent via BlackBerry by AT&T
>
> -----Original Message-----
> From: "Sise, Mike MD" <Sise.Mike at scrippshealth.org>
>
> Date: Mon, 2 Feb 2009 22:39:54
> To: <trauma-list at trauma.org>
> 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
>
>
> ----------------
>
> From: trauma-list-bounces at trauma.org on behalf of
> trauma-list-request at trauma.org
> 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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