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Damage control-kirurgi ved det septiske abdomen

Nikolaj Nerup, Karen Oline Larsen Langballe, Michael P. Achiam & Lars B. Svendsen Kirurgisk Gastroenterologisk Afdeling C, Rigshospitalet Ugeskr Læger 2017;179:V12160909
Ugeskr Læger 2017;179:V12160909
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Damage control surgery in patients with abdominal sepsis
Damage control surgery (DCS) and resuscitation has improved the survival of trauma patients with decom­pensated physiology. In recent years, the principles of DCS have been used in the treatment of patients with abdominal sepsis, despite the fact that only a minimum of evidence exists. The aim is to optimize the physiology prior to definitive surgery. This implies a primary decontaminating surgical procedure with temporary abdominal closure without restoration of the intestinal continuity and avoidance of stoma formation in order to reduce time in the operating theatre.
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