trauma-list Digest, Vol 67, Issue 43

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Tim,

 

Of course, close the skin!

Don't remember that I did not close the skin in Baltimore, back in the early
90's

 

Mickey

 

*******************************************************************

Michael Stein MD

Chairman, Israel Trauma Society

Director of Trauma, Attending Surgeon

Department of Surgery,

Rabin Medical Center - Beilinson Hospital,

Petach-Tikva, 49100

ISRAEL

 

E-mail:  <mailto:mshtein at clalit.org.il> mshtein at clalit.org.il (W)

E-Mail: michael at steinmail.net (H)

Tel: (+972) 3-937-7043

Fax: (+972) 3-937-7042

Cell: (+972) 50-763-7752

*******************************************************************

 

----Original Message-----
From: trauma-list-bounces at trauma.org [mailto:trauma-list-bounces at trauma.org]
On Behalf Of tina
Sent: Tuesday, February 03, 2009 11:48 PM
To: 'Trauma &amp; Critical Care mailing list'
Subject: RE: trauma-list Digest, Vol 67, Issue 43

 

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 &amp; 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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> 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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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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