Study of an Effective Solution for Managing Abdominal Trauma

Abstract

Damage Control Surgery has emerged as a crucial approach in regions with limited resources for resuscitation and surgical management, particularly in cases of rising abdominal trauma incidence. This strategy allows surgeons to address immediate issues, reduce mortality rates, and prove invaluable in critical situations.

In some circumstances, wherein conventional definitive fascial closure is not possible, interim closure techniques such as Opsite sandwich Bogota bag, negative pressure therapy, skin-only closure, may be done for successfully managing the open abdomen.

In order to manage cases of open abdominal trauma and prevent complications like wound dehiscence and infection at the surgical site, this prospective observational study was carried out in Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune between January 2022 and July 2023. According to the study's findings, skin-only closure can be a suitable substitute for other temporary abdominal closure procedures when carefully chosen. This is especially important in environments with limited resources, where solutions like wound VAC or ABTHERA facilities might not be offered.