Understanding the Differance:
Simple Decompression (SD) - Damage Control Repair (DCR)
* Two destinct Tactic procedures
Two distinct tactic procedures: Depending on the presence of absence of complex intra-abdominal pathology, there are two strategically different methods to avert the functional impairments caused by abdominal compartment syndrome (ACS) and achieve complete fascial closure of the open abdomen and planned open abdomen
1.
Simple Decompression (SD)
Simple Decompression using artificial Bur (ABC) Fascia Prothesis if complex intra-abdominal pathology is absent.
2.
Damage Control Repair (DCR)
Do DCR if complex intraabdominal pathology is present that does not permit initial lengthy repairs in the operating room requiring quick transfer of the patient to the ICU for stabilsation
Both srategies take advantage of the flexibility of the artificial bur temporary fascia prosthesis, Damage Control Repair, however, involves significant additional lifesaving advantages as outlined further below. It extends the original concept of plain damage control (new citation 1 abd 2) to add repair of the intraabdominal pathology before final closure. Thanks to the ABC temporary fascia prosthesis reinspection and stepwise more gentle repair is possible as well as and early diagnosis and therapy of emerging intraabdominal complications.
Benefits of Abdominal Closure with Bur Fascia Prosthesis
Benefits of widening the abdominal girth
- Temporarily bridges fascial gap
- Permits rapid entry and re-entry
- Avoids evisceration
- Prevents fistulae
- Allows for final fascial closure
- Averts functional impairment of ACS by:
- Improving renal and hepatic function
- Improving pulmonary function
- Improving cardiac function
- Improving cerebral function
- Improving intra-abdominal perfusion
- Improving fascial perfusion
Benefits of keeping tension to the fascia