Penn Trauma Authors Delve into Practices of Uncertain Benefit in Trauma Care

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In May 2023, Penn Trauma researchers published on trauma care practices where consensus on benefit remains unresolved, and on the benefits of recent innovations and practices in the field.

New Research from Penn Trauma

The variable role of damage control laparotomy over 19 years of trauma care in Pennsylvania.

Hatchimonji JS, Holena DN, Xiong R, Scantling DR, Hornor MA, Dowzicky PM, Reilly PM, Kaufman EJ.

Surgery. 2023;173:1289-1295.

With little consensus on the optimal criteria for damage control laparotomy, Penn Trauma surgeons Patrick M Reilly, MD, and Elinore J. Kaufman, MD, MSHP, and colleagues, examined variability between centers and over time in Pennsylvania, and found wide center-level variation in the practice among centers, despite adjustment for patient factors.

Dispelling Dogma: American Association for Surgery of Trauma Prospective, Multicenter Trial of Index vs Delayed Fasciotomy after Extremity Trauma.

Keating JJ, Klingensmith N, Moren AM, Skarupa DJ, Loria A, Maher Z, Moore SA, Smith MC, Seamon MJ; Fasciotomy Group Investigators.

J Am Coll Surg. 2023;236:1037-1044.

In an analysis co-authored by Nathan J. Klingensmith, MD and Mark J. Seamon, MD, FACS of Penn Trauma, fasciotomy during index operative procedures for extremity vascular trauma failed to demonstrate an outcome benefit, upsetting both expectations and years of surgical dogma.

New Research from Penn Trauma

The following represents a selection from various publications of new studies and reports from providers in the Department of Traumatology, Surgical Critical Care and Emergency Surgery at the Perelman School of Medicine:

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