Planned reoperation for severe XXXX .

@entity1 @entity10478 @entity548 @entity130 @entity1003 @entity520 @entity8479 @entity1230 @entity2332
OBJECTIVE: The authors review the physiologic basis, indications, techniques, and results of the planned reoperation approach to severe @entity130 . SUMMARY BACKGROUND DATA: Multivisceral @entity130 and exsanguinating @entity548 lead to @entity2332 , @entity1003 , and @entity520 . Formal resections and reconstructions in these unstable @entity1 often result in irreversible physiologic insult. A new surgical strategy addresses these physiologic concerns by staged control and repair of the injuries. METHOD: The authors review the literature. RESULTS: Indications for planned reoperation include avoidance of irreversible physiologic insult and inability to obtain direct hemostasis or formal abdominal closure. The three phases of the strategy include initial control, stabilization, and delayed reconstruction. Various techniques are used to obtain rapid temporary control of @entity548 and hollow @entity10478 . @entity2332 , @entity1003 , and the @entity8479 are major postoperative concerns. Definitive repair of the injuries is undertaken after stabilization. CONCLUSION: Planned reoperation offers a simple and effective alternative to the traditional surgical management of complex or @entity1230 in critically wounded @entity1 .
