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. 2006 Nov;19(4):188-94.
doi: 10.1055/s-2006-956439.

Surgical hemorrhage, damage control, and the abdominal compartment syndrome

Kerry L Hammond  1 , David A Margolin
Affiliations

Surgical hemorrhage, damage control, and the abdominal compartment syndrome

Kerry L Hammond et al. Clin Colon Rectal Surg. 2006 Nov.

Abstract

The morbidity and mortality associated with surgical hemorrhage are considerable, particularly when relaparotomy is necessary. This complication can usually be avoided with comprehensive preoperative patient evaluation and meticulous surgical technique. The damage control sequence is a useful surgical strategy when severe intraoperative coagulopathy or hemodynamic instability is present. Abdominal compartment syndrome is a potentially lethal phenomenon that can occur following laparotomy or large-volume fluid resuscitation, or both. Early recognition and intervention are critical to survival of the patient when this syndrome occurs.

Keywords: Surgical hemorrhage; abdominal compartment syndrome; damage control.

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