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Dead space 3 can open origin inlay11/17/2023 ![]() ![]() Unfortunately, the operation was considered as a surgical failure as leaving the abdomen “open” was thought to result in intra-abdominal abscess and intestinal fistulas. In the subsequent 17 patients, the operation was aborted and abdominal tamponade was achieved with sponges. In the first 14 patients, the procedure was continued with hemostatic replacement and completion of the operation. reported their experience on 31 patients who were diagnosed to have major coagulopathy soon after the onset of surgery. As the number of patients in these series was small (4 and 17 patients), the idea of packing was still not considered as a desirable and standard practice then. Subsequently, other authors reported on packing for severe liver injuries. The authors emphasized “open-mindedness and flexibility” in the use of packing. In a prospective study carried out from 1968 to 1973, Lucas and Ledgerwood reintroduced the technique and used it on 3 patients in a series of 637 patients with liver injuries. It was abandoned because of recurrent bleeding at pack removal and late infection. Direct pressure has long been used until World War II for hemostasis, especially in patients with coagulopathy.
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