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Clin Colon Rectal Surg 2006; 19(4): 188-194
DOI: 10.1055/s-2006-956439
Copyright © 2006 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA.

Surgical Hemorrhage, Damage Control, and the Abdominal Compartment Syndrome

Kerry L. Hammond1 , David A. Margolin1
  • 1Department of Colon and Rectal Surgery, The Ochsner Clinic Foundation, New Orleans, Louisiana
Further Information

Publication History

Publication Date:
24 November 2006 (online)

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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 - damage control - abdominal compartment syndrome

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David A MargolinM.D. 

Department of Colon and Rectal Surgery, The Ochsner Clinic Foundation

1514 Jefferson Hwy., New Orleans, LA 70121

Email: damargolin@ochsner.org

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