Peyman Virani; Ali Farbod; Mahshid Dehghan; Aisan Akhgari
Volume 24, Issue 2 , 2022
Abstract
Introduction: Damage Control Laparotomy (DCL) is an appropriate technique in approaching patients with critical injuries.
Case Presentation: We report a case of road traffic injury in a 20-years-old male presented with penetrating abdominal trauma caused by a metal tube. The DCL was performed and the ...
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Introduction: Damage Control Laparotomy (DCL) is an appropriate technique in approaching patients with critical injuries.
Case Presentation: We report a case of road traffic injury in a 20-years-old male presented with penetrating abdominal trauma caused by a metal tube. The DCL was performed and the patient was stabilized. Re-exploration was carried out and the patient was discharged on the 33rd day with peroneal nerve palsy and no other associated complications.
Conclusion: Three main causes of mortality in severely injured patients are coagulopathy, hypothermia, and metabolic acidosis. These factors make a vicious cycle that leads to metabolic status disruptions and a high rate of mortality. The DCL consists of an initial laparotomy that is limited to the control of hemorrhage and contamination, followed by intra-abdominal packing. Minimizing the first operation to vital tasks can save lives that may be lost otherwise.
