Abstract:
:Patients with severe abdominal trauma injuries can have improved outcomes if a priority-oriented approach is taken to surgical intervention. This includes temporary abdominal closure and planned reoperation to complete complex, lengthy procedures when the patient is stabilized. Temporary abdominal closure can be achieved safely and cost-effectively by using a presterilized 3-liter cystoscopy fluid i.v. bag. This article discusses the rationale for temporary abdominal closure and planned reoperation, physiologic considerations in abdominal compartment syndrome (ACS), abdominal injuries or conditions leading to ACS, and manifestations of ACS. It compares and contrasts various materials used for temporary abdominal closure, illustrates bag preparation and silo application and removal, and analyzes complex intraoperative and postoperative nursing activities.
journal_name
AORN Jjournal_title
AORN journalauthors
Fox VJ,Miller J,Nix AMdoi
10.1016/s0001-2092(06)62464-2subject
Has Abstractpub_date
1999-03-01 00:00:00pages
530-5, 537, 539-41issue
3eissn
0001-2092issn
1878-0369pii
S0001-2092(06)62464-2journal_volume
69pub_type
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