Avanços na cirurgia de trauma: uma análise abrangente das estratégias cirúrgicas contemporâneas no tratamento de vítimas de trauma com enfoque em controle de hemorragia, ressuscitação e reconstrução
DOI:
https://doi.org/10.34119/bjhrv6n3-368Keywords:
cirurgia de trauma, controle de hemorragia, ressuscitação, reconstrução, engenharia de tecidosAbstract
O trauma é uma das principais causas de morte e incapacidade globalmente, tornando a busca por melhorias no tratamento de vítimas de trauma crucial. Este artigo revisa avanços recentes na cirurgia de trauma, focando no controle de hemorragia, ressuscitação e reconstrução. O controle eficaz da hemorragia é vital, e a pesquisa tem focado em técnicas como a ressuscitação com controle de danos e embolização endovascular. Na ressuscitação, estratégias aprimoradas incluem ressuscitação baseada em metas, líquidos balanceados e transfusão de sangue. Por fim, a reconstrução pós-trauma tem visto avanços notáveis, especialmente na regeneração e na engenharia de tecidos. Apesar desses avanços, ainda há desafios, incluindo a necessidade de mais pesquisas e questões de equidade no acesso ao cuidado. No entanto, o progresso contínuo na cirurgia de trauma tem potencial para melhorar ainda mais os resultados para as vítimas de trauma.References
ATALA, A. Regenerative Medicine Strategies. Journal of Pediatric Surgery, 47(1), 17–28, 2012.
CANNON, J. et al. Damage Control Resuscitation in Patients with Severe Traumatic Hemorrhage: A Practice Management Guideline from the Eastern Association for the Surgery of Trauma. The Journal of Trauma and Acute Care Surgery, 84(3), 558-567, 2018.
CECCONI, M. et al. Consensus on circulatory shock and hemodynamic monitoring. Task force of the European Society of Intensive Care Medicine. Intensive Care Medicine, 40(12), 1795-1815, 2014.
DIMITRIOU, R. et al. Current concepts of molecular aspects of bone healing. Injury, 42(9), 1392–1404, 2011.
GIANNOUDIS, P. et al. Fracture healing: the diamond concept. Injury, 38, S3-S6, 2007.
GÓMEZ-BENITO, M. et al. Influence of fracture gap size on the pattern of long bone healing: a computational study. Journal of Theoretical Biology, 244(4), 454-465, 2017.
HARVIN, J. et al. Chasing 100%: The use of hypertonic saline to improve early, primary fascial closure after damage control laparotomy. The Journal of Trauma and Acute Care Surgery, 82(3), 511-516, 2017.
HOLCOMB, J. et al. Transfusion of plasma, platelets, and red blood cells in a 1:1:1 vs a 1:1:2 ratio and mortality in patients with severe trauma: the PROPPR randomized clinical trial. Journal of American Medical Association, 313(5), 471-482, 2015.
KRAGH, J. et al. Battle Casualty Survival with Emergency Tourniquet Use to Stop Limb Bleeding. The Journal of Emergency Medicine, 41(6), 590-597, 2011.
LANNON, D. et al. Multiple modes of cellular cross-talk in wound healing: a mathematical model. Wound Repair and Regeneration, 19(5), 620-635, 2011.
MURPHY, R. et al. A long-term, multifaceted approach to PCI quality improvement in a community hospital. The Joint Commission Journal on Quality and Patient Safety, 40(3), 115–123, 2014.
PEARSE, R. et al. Mortality after surgery in Europe: a 7 day cohort study. The Lancet, 380(9847), 1059-1065, 2014.
ROBERTS, I. et al. The CRASH-2 trial: a randomised controlled trial and economic evaluation of the effects of tranexamic acid on death, vascular occlusive events and transfusion requirement in bleeding trauma patients. Health Technology Assessment, 17(10), 1-79, 2010.
ROTONDO, M. et al. 'Damage control': an approach for improved survival in exsanguinating penetrating abdominal injury. The Journal of Trauma, 35(3), 375-382; discussion 382-3, 1993.
SEMLER, M. et al. Balanced crystalloids versus saline in noncritically Ill adults. New England Journal of Medicine, 378(9), 819-828, 2018.
SEMLER, M. et al. Impact of Initial Plasma-Lyte Administration on Acid-Base Balance in Patients with Metabolic Acidosis Secondary to Diabetic Ketoacidosis. Critical Care Medicine, 45(1), 45-51, 2017.
TEIXEIRA, P. et al. Preventable or potentially preventable mortality at a mature trauma center. The Journal of Trauma, 67(6), 1338-1346, 2009.
TRAVIS, T. et al. Laryngotracheal Reconstruction in Adults with the Sternocleidomastoid Myocutaneous Flap. Archives of Otolaryngology–Head & Neck Surgery, 134(11), 1155–1158, 2008.
