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Surgical access, drainage, and exploration

11 articles

Curettage

Curettage is a surgical procedure that scrapes tissue from a body cavity, most often the uterus or skin, using a spoon-shaped curette; in gynecology it is combined with cervical dilation as dilation and curettage (D&C).

Damage control surgery

Damage control surgery (DCS) is a staged approach to major trauma in which an abbreviated first operation controls bleeding and contamination, ICU resuscitation restores physiology, and a planned reoperation performs definitive repair.

Drainage (medicine)

Drainage (medicine): use of a drain, a tube or instrument, to remove fluid, pus, blood, or gas from wounds, abscesses, or body cavities; covers passive and active closed-suction drains, percutaneous image-guided abscess drainage, and trial evidence that prophylactic drains show no benefit in colorectal and pancreatic surgery.

Exploratory surgery

Exploratory surgery is a diagnostic operation in which a surgeon opens a body cavity, usually the abdomen, to inspect organs directly when imaging has not produced a diagnosis.

Fasciotomy

Fasciotomy is an emergency surgical procedure that cuts the fascia enclosing a muscle compartment to lower pressure and restore blood flow, the only recognized treatment for acute compartment syndrome.

Incision and drainage

Incision and drainage (I&D) is a surgical procedure that cuts into an abscess to evacuate pus, achieving source control; more than 1.4 million are performed yearly in the United States.

James Rutherford Morison

James Rutherford Morison (1853–1939) was a British surgeon of Newcastle-upon-Tyne and professor of surgery at Durham who described the peritoneal space known as Morison's pouch.

Open Abdomen Techniques

Open abdomen techniques: temporary abdominal closure methods (NPWT, Bogota bag, Wittmann patch, fascial traction) used after laparostomy in damage control surgery and sepsis; early fascial closure preferred, evidence of superiority limited.

Peritoneovenous shunt

The peritoneovenous shunt, also called the LeVeen shunt, is an implanted device that drains ascitic fluid from the abdomen into the central veins through a one-way valve.

Surgical Tampons

Surgical tampons: absorbent cotton, wool, gauze, or gelatin packs (tamponing) placed in wounds or cavities to stop bleeding, deliver antiseptics, or absorb fluid; historic medical use predates menstrual tampons; main hazard is retention.

Suture Techniques

Suture techniques: methods of placing stitches (interrupted, continuous, mattress, subcuticular) to close wounds. Also staples and tissue adhesives; history from Susruta (500 BCE) to synthetic absorbables; comparative trial evidence.