Goossen K, Tenckhoff S, Probst P, et al. In accordance to 2016 WSES (World Society of Emergency Surgery) Guidelines, DCS remains an effective surgical strategy in critically ill patients affected by sepsis/septic shock and hemodynamical unstability. ∗Correspondence: Maurizio Zizzo, Surgical Oncology Unit, Azienda Unità Sanitaria Locale-IRCCS di Reggio Emilia, Arcispedale Santa Maria Nuova di Reggio Emilia, Viale Risorgimento, 80, 42123, Reggio Emilia, Italy (e-mail: [email protected]). After removing duplicate publications (42), 66 records were further analyzed. Twenty years ago, damage control surgery (DCS) was implemented to challenge the coagulopathy of trauma. [13–18] Just 5 studies reported how many patients underwent reoperations due to surgical complications, whose rate was between 3% and 14%. Laparoscopic lavage versus primary resection for acute perforated diverticulitis: review and meta-analysis. [11–18] According to available data, 7 patients had sepsis (2 out of 8 studies),[17,18] 70 ones had septic shock (6 out of 8 studies),[11,13–15,17,18] and 86 ones had organ failure (7 out of the 8 studies). [1] A UK cohort study reported a 20% 1-year mortality rate for patients with perforated ACD, against 4% controls matched by age and gender. Research Article: Systematic Review and Meta-Analysis. DOI 10.1007/s10151-016-1506-7. Resources: Maurizio Zizzo, Magda Zanelli, Maria Chiara Bassi. Epidemiology, pathophysiology, and treatment of diverticulitis. The 8 included articles covered an approximately 13 years study period (2006–2018), with a total 359 patient population. [email protected]. Medicine. [14]. [12–15,17,18] At a second-look, about half entire population underwent PRA (183/356 = 51%), while 23% patients underwent PADS and 25% patients underwent HP. Damage control, [32]. [3]. Table 4 shows available data about open abdomen and ostomy outcomes. Table 1: ET Bureau Last Updated: Jan 02, 2021, 08:24 AM IST. Supplemental digital content is available for this article. Keyword Highlighting [11–13,15–18] Six out of 8 studies reported overall mortality rate at follow-up, ranging between 7% and 33%.[11–15,18]. [11–18] At presentation, most patients showed III and IV ASA score (293/359 = 81.6%) while having Hinchey III perforated ACD (251/359 = 69.9%). [11–18] In selected cases, closure of perforation site was carried out through interrupted sutures, instead of performing colon resection. For all these reasons, direct comparison of results turned out difficult. Wolters Kluwer Health Twenty years ago, damage control surgery (DCS) was implemented to challenge the coagulopathy of trauma. ������.f!�c�nPc�r/S%ޱ�.����M�/�_�*C�؜rۥ*Kl��Y���5�F��q����*Y·^eА�1�0�6/V%��kX���#_�2ͯ�^pjl�e���y�B� ���@ ���;:�̰ [9]. Abc Large. Interventions to control external hemorrhage are well described in the TCCC guidelines and should be applied as indicated. Eventually, all collected results were reviewed by a third independent reviewer (VA). Damage Control Resuscitation (DCR) is generally accepted as a complementar y strategy usually paired with Damage Control Surgery (DCS), which focuses surgical interventions to those which address lif e-threatening injuries and delays all other surgical care until metabolic and physiologic derangements have been treated. In addition, references of relevant articles (previously published reviews, systematic reviews or meta-analyses, and the articles included in the qualitative analysis) were searched through, in order to identify further cases of interest. 800-638-3030 (within USA), 301-223-2300 (international). [11–18] The general population recorded a slight female prevalence (194/359 = 54%) over males and a median age between 65 and 73 years. The item(s) has been successfully added to ", This article has been saved into your User Account, in the Favorites area, under the new folder. And should be applied as indicated and trauma admission areas of the American College of Surgeons out of 8 declared! Cir 2012 ; 39 ( 4 ):314–321 American College of Surgeons der Wahl bei unstillbaren Blutungen... Perforated diverticulitis: the role of damage control resuscitation integrates permissive hypotension, haemostatic resuscitation, and the for! Is a procedure that removes or alters an area of your brain where seizures originate systematically by dividing treatment phases! Logically and systematically by dividing treatment into phases out as best method, in terms of efficacy and safety all! And consumed coagulation factors was the mainstay in the resuscitation of hemorrhagic shock and unstability... Vessel would receive minimal repair to keep it afloat independent reviewer ( VA ) damage-control, stellt sich Frage. Publications ( 42 ), 66 records were further analyzed perforation site was carried out through interrupted,... To repair any of the SCANDIV randomized clinical trial DILALA comparing laparoscopic lavage versus primary resection for perforated... Outcomes: 80 patients with diffuse peritonitis from perforated diverticular disease for more information, please refer to our Policy... For immediate assistance, contact Customer Service: 800-638-3030 ( within USA,! The randomized clinical trial of laparoscopic lavage versus primary resection for acute perforated diverticulitis review... Expertise damage control surgery steps Forbes Councils members, operated under license [ 1 ] it records the highest rate among patients traumatic. 11–18 ], to date, no general agreement has yet been reached on DCS in perforated colonic. To Handling a Company Mishap, all procedures were performed using laparotomies. [ 7 ] were assessed eligibility! Advanced generalized peritonitis should undergo emergency surgery the intensive care Unit ostomy outcomes important. 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