Abdominal trauma early reoperation reason analysis of 26 cases


, The abdomen should be carefully examined to confirm whether active bleeding ; (3) Select the correct procedure , correct judgment of tissue viability ; (4) of the retroperitoneal hematoma is often accompanied by vascular or visceral injury , especially sharp injuries the retroperitoneal hematoma , in principle, should be duct exploration . In addition, the repair of liver damage performance of the deep such as intrahepatic hematoma , ruptured into the abdominal cavity caused by biliary tract bleeding , it should be liver damage classification to select the appropriate procedure to reduce the reoperation due to improper disposal of lead . Complications and prevention of complications caused by the re-operation to the intra-abdominal abscess , adhesion ileus , biliary , pancreatic fistula . This group of patients with pancreatic tail stab wound patients , the first operation that damaged superficial pancreas ,moncler jacken, ligation , no bleeding , exudate , and therefore drainage ; postoperative localized peritonitis ,canada goose jakke, pancreatic abscess ; reoperation placed drainage tube to be cured,moncler jacken, we believe that: (1) patients with abdominal trauma , postoperative full abdominal wash ,nike free run, smooth drainage after surgery in a timely manner to take the semi- recumbent position with the anti- infective therapy is to reduce the effective measures of abdominal infection and abscess formation ; (2) bile duct injury repair, built-in T-tube drainage in the abdominal wall leads to the T-tube should be fixed firmly stitched in order to avoid prolapse ; the T - tube drainage should be smooth to prevent blood clots ; T tube should be gentle movements ,ralph lauren paris, avoid using violence to prevent T tube sinus and the abdominal wall at the junction of the tear, the formation of biliary fistula and bile peritonitis reoperation ; (3) various types of pancreatic surgery , intra-abdominal should be set to drain , and drainage , drainage time determines how much fluid drainage . The occurrence of postoperative adhesive intestinal obstruction following factors: (1) trauma surgery requires a comprehensive exploration ; (2) of hemoperitoneum or digestive juice pollution ; (3) bile leakage , pancreatic fistula placed the drain a long time ; (4 ) postoperative abdominal infection and abscess formation . Prevention: also satisfied and the sequence arrangement of the small intestine, exhaustion abdominal blood and repeatedly washed with metronidazole and saline bowel incision asked the greater omentum separated , in stable condition after getting out of bed early , it may reduce the adhesion obstruction opportunity. [
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