Komplikationen und Komplikationsvermeidung beim Abdominaltrauma

Abstract

Algorithms can help to avoid complications through clear, set steps, even if this is particularly difficult in multiple trauma. The case history is usually taken from a third person and a careful clinical examination is seldom possible. From all technical examinations, ultrasonography and CAT scans are of considerable influence in decisions on surgical intervention. If a large quantity of free fluid is found in the abdomen, we proceed with an immediate laparotomy. In all other cases, the diagnostic measures are extended and the further course is closely followed. Surgery is carried out only in the hemodynamically stable patient; otherwise damage control surgery is the goal pursued. © Springer-Verlag 2004.