Therapeutics in Abdominal Trauma Surgery: Current Strategies in Approaching Complex and Multiple Injuries

• Autor(a) principal: Gonçalves da Cunha Peixoto, Vinicius
• Data de Publicação: 2023
• Outros Autores: Andrade Carvalho , Laura, Garcia de Lucca, Marcella, de Oliveira , Giovanna Letícia, Procópio Alves , Ana Clara
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Brazilian Journal of Implantology and Health Sciences
• Texto Completo: https://bjihs.emnuvens.com.br/bjihs/article/view/1020
• topic: Cirurgia de Trauma Abdominal; Estratégias Terapêuticas; Lesões Complexas.; Abdominal Trauma Surgery; Therapeutic Strategies; Complex Injuries.

In the scenario of abdominal trauma surgery, therapeutic approach plays a crucial role in the effective management of complex and multiple injuries. The ongoing evolution of therapeutic strategies reflects the relentless pursuit of improved outcomes and the reduction of morbidity and mortality associated with abdominal traumas. In this context, a profound understanding of the pathophysiology of injuries is essential to guide therapeutic decisions, given that each case presents unique challenges. Among current strategies, a multidisciplinary approach stands out, integrating surgeons, intensivists, radiologists, and other healthcare professionals to ensure a coordinated and comprehensive approach. Laparotomy continues to be an essential tool in the assessment and treatment of severe abdominal injuries, allowing meticulous exploration of the abdominal cavity and immediate repair of identified lesions. However, minimally invasive techniques have gained prominence, offering benefits such as reduced tissue trauma, faster recovery, and decreased postoperative complications. Thoughtful selection between invasive and non-invasive approaches is a fundamental aspect in optimizing therapeutic outcomes. Furthermore, adjuvant therapy plays a growing role in abdominal trauma management, encompassing the use of pharmacological therapies, endovascular therapy, and innovative approaches such as cell therapy. The customization of treatment, adapting therapeutic strategies to the individual characteristics of the patient, emerges as a promising trend in the pursuit of maximum efficacy. Therefore, this work aims to explore and critically analyze therapeutic approaches in abdominal trauma surgery, highlighting current strategies and their positive impact on the management of complex and multiple injuries. This article presents a comprehensive and critical review of therapeutics in abdominal trauma surgery, focusing on contemporary strategies used to address complex and multiple injuries. The research is grounded in an extensive review of medical literature, encompassing clinical studies, systematic reviews, and recent technological advances. The detailed analysis will cover both conventional techniques, such as laparotomy, and the latest innovations, including minimally invasive approaches and adjuvant therapies.