Closing the Damage Control Abdomen (T)

This session has been identified and designated as Credit to Meet ACS Accreditation/Verification Requirements for Trauma.

Session Description

Damage-control laparotomy is a widely accepted operation for a select group of trauma patients. In the unstable multiple-injuries patient, the patient may require multiple trips to the operating room for attempted closure of the abdomen. This panel will include current accepted indications for damage control as well as the decision-making process for patients when the abdominal wall is not closable. Discussion will include new devices that are being used to help attempt re-approximate the open abdomen.

Course Outline

  • A Bandage Left on Too Long: The History of Damage Control Laparotomy
    Bryan A. Cotton, MD, MPH, FACS, Houston, TX
  • Who Should We Be Closing and What Still Needs to Be Left Open in 2018? The Use of Learning Health Systems in Improving Outcomes 
    John A. Harvin, MD, FACS, Houston, TX
  • Hypertonic Saline, Volume Status, and Direct Peritoneal Resuscitation
    Jason W. Smith, MD, PhD, FACS, Louisville, KY
  • Effectiveness of Sequential Closure and Dynamic Closure Devices 
    Clay Cothren Burlew, MD, FACS, Denver, CO
  • When We Fail: Approaches to Closing the Chronic Open Abdomen
    Jin H. Ra, MD, FACS, Jacksonville, FL

Target Audience

  • Practicing surgeons
  • Residents

Learning Objectives

  • Apply new knowledge and ideas to improve their surgical practice
  • Adapt concepts and quality measures in support of research advancements
  • Enhance the quality of patient care

Contact

  • For questions about the course content, please contact elearning@facs.org.
  • If you have any technical questions, contact learning@facs.org.
Course summary
Available credit: 
  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
Course opens: 
10/05/2018
Course expires: 
01/31/2020


Disclosure Information

In accordance with the ACCME Accreditation Criteria, the American College of Surgeons must ensure that anyone in a position to control the content of the educational activity (planners and speakers/authors/discussants/moderators) has disclosed all relevant financial relationships with any commercial interest. For additional information, please visit the ACCME website: http://www.accme.org/requirements/accreditation-requirements-cme-providers/policies-and-definitions/financial-relationships-and-conflicts-interest

The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias during the educational activity.  Any conflicts noted below have been managed to our satisfaction. The disclosure information is intended to identify any commercial relationships and allow learners to form their own judgments. However, if you perceive a bias during a activity, please report it on the evaluation. 

(Download the full list of disclosures.)

Faculty and Disclosures

Bryan A. Cotton, MD, MPH, FACS, Houston, TX - Haemonetics Corp (Braintree, MA): Advisory Committee Member, Consulting fee
John A. Harvin, MD, FACS, Houston, TX - No Disclosures
Jason W. Smith, MD, PhD, FACS, Louisville, KY - No Disclosures
Clay Cothren Burlew, MD, FACS, Denver, CO - No Disclosures
Jin H. Ra, MD, FACS, Jacksonville, FL - No Disclosures

Program Committee and Disclosures

CHAIR: Henri R. Ford, MD, MHA, FACS, FAAP, FRCSEng(Hon), Miami, FL - No Disclosures
VICE-CHAIR: David T. Cooke, MD, FACS, Sacramento, CA - No Disclosures

Members

David C. Borgstrom, MD, FACS, Morgantown, WV - No Disclosures
Daniel L. Dent, MD, FACS, San Antonio, TX - No Disclosures
Roger R. Dmochowski, MD, FACS, Nashville, TN - Allergen: Honoraria: Consultant
Audra A. Duncan, MD, FACS, London, ON - No Disclosures
Mariam F. Eskander, MD, Boston, MA - No Disclosures
Paula Ferrada, MD, FACS, Richmond, VA - No Disclosures
Neil H. Hyman, MD, FACS, Chicago, IL - No Disclosures
Martin S. Karpeh, Jr., MD, FACS, New York, NY - No Disclosures
Dennis H. Kraus, MD, FACS, New York, NY - No Disclosures
Kenneth W. Sharp, MD, FACS, Nashville, TN - No Disclosures
David A. Spain, MD, FACS, Stanford, CA - No Disclosures

Ex-Officios

Mary T. Hawn, MD, FACS, Stanford, CA - No Disclosures
Daniel M. Herron, MD, FACS, FASBMS, New York, NY - No Disclosures

Consultants

Barbara Lee Bass, MD, FACS, FRCS(Hon), Houston, TX - No Disclosures
Quan-Yang Duh, MD, FACS, San Francisco, CA - No Disclosures
B. J. Hancock, MD, FACS, FRCSC, Winnipeg, MB - No Disclosures
Ronald V. Maier, MD, FACS, FRCSEd(Hon), Seattle, WA - No Disclosures
Valerie W. Rusch, MD, FACS, New York, NY - No Disclosures

 

Continuing Medical Education Credit Information

Accreditation

The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

AMA PRA Category 1 Credits™

The American College of Surgeons designates this enduring activity for a maximum of 1.5 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Of the AMA PRA Category 1 Credits™ listed above, a maximum of 1.5 credits meets the requirements for Self-Assessment.

American College of Surgeons and ACGME Logos

Note: Residents will receive a Certificate of Completion.

Available Credit

  • 1.50 AMA PRA Category 1 Credit™
  • 1.50 Certificate of Completion
  • 1.50 Self Assessment Credit
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