R: trauma-list Digest, Vol 67, Issue 43

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I much prefer to close the skin, I keep a close watch on the wound and any
sign of an important infection, open up the wound again. I am rarely
disappointed( I am not that young!!)

Peter

 

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Da: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
Per conto di Sise, Mike MD
Inviato: martedì 3 febbraio 2009 5.40
A: trauma-list at trauma.org
Oggetto: 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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From: trauma-list-bounces at trauma.org on behalf of
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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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