trauma-list Digest, Vol 67, Issue 43

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Tim

...you can add this part of Scandinavia to the "closing skin"
tradition...staples or suture..

Tina Gaarder 
Trauma and GI Surgery
Head of Trauma Unit
Oslo University Hospital, Norway 
(list lurker)

-----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of Dr Timothy Hardcastle
Sent: 03 February 2009 18:46
To: Trauma & Critical Care mailing list
Subject: RE: trauma-list Digest, Vol 67, Issue 43

Mike wrote:
> 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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> Subject: trauma-list Digest, Vol 67, Issue 43
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Dear Mike

I close skin - as do most South African surgeons to my knowledge; the idea
of leaving skin open is a very American thing, certainly never advocated
in this country and to my knowledge not in the UK or Australia either.

Tim
Dr T C Hardcastle
M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
Principal Specialist Trauma Surgeon /
Honorary Lecturer UKZN Dept Surgery
Deputy Director - IALCH Trauma Service
Durban - South Africa

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