Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học quốc tế cung cấp cho các bạn kiến thức về ngành y đề tài: A national survey on temporary and delayed abdominal closure in Norwegian hospitals | Groven et al. Scandinavian Journal of Trauma Resuscitation and Emergency Medicine 2011 19 51 http content 19 1 51 SCANDINAVIAN JOURNAL OF Et emergency medicine ORIGINAL RESEARCH Open Access A national survey on temporary and delayed abdominal closure in Norwegian hospitals Sigrid Groven1 2 Pal A N ss1 Erik Trondsen3 and Christine Gaarder1 Abstract Introduction Temporary abdominal closure TAC is included in most published damage control DC and abdominal compartment ACS protocols. TAC is associated with a range of complications and the optimal method remains to be defined. The aim of the present study was to describe the experience regarding TAC after trauma and ACS in all acute care hospitals in a sparsely populated country with long transportation distances. Material and methods A questionnaire was sent to all 50 Norwegian hospitals with acute care general surgical services. Results The response rate was 88 . A very limited number of hospitals had treated more than one trauma patient with TAC 5 or one patient with ACS 14 on average per year. Most hospitals preferred vacuum assisted techniques but few reported having formal protocols for TAC or ACS. Although most hospitals would refer patients with TAC to a trauma centre more than 50 reported that they would perform a secondary reconstruction procedure themselves. Conclusion This study shows that most Norwegian hospitals have limited experience with TAC and ACS. However the long distances between hospitals mandate all acute care hospitals to implement formal treatment protocols including monitoring of IAP diagnosing and decompression of ACS and the use ofTAC. Assuming experience leads to better care the subsequent treatment of these patients might benefit from centralization to one or a few regional centers. Keywords temporary abdominal closure damage control surgery abdominal compartment syndrome survey Introduction Damage control techniques as well as prevention and treatment of abdominal .
