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Damage control surgery is surgical intervention to keep the patient alive rather than correct the anatomy. It addresses the "lethal triad" for critically ill patients with severe hemorrhage affecting homeostasis leading to metabolic acidosis, hypothermia, and increased coagulopathy.
Purpose of review: Damage control surgery (DCS) represents a staged surgical approach to the treatment of critically injured trauma patients.
Dec 30, 2020 · Damage control was based on the recognition of the lethal triad of hypothermia, acidosis, and a coagulopathy resulting from massive blood loss, large-volume resuscitation and ischemia-reperfusion.
Apr 17, 2024 · Although damage control surgery and resuscitation were initially described following abdominal injury, the basic principle has been extended to all aspects of trauma care. The principles of damage control and resuscitation, as well as the damage control sequence, are reviewed here.
Mar 11, 2021 · This systematic review is the first to comprehensively compile and critically analyze the evidence for use of DC surgery and DC interventions in civilian trauma patients. We identified 39 studies that evaluated the content, construct, and/or criterion validity of 116 indications for DC surgery.
Oct 16, 2021 · Damage control surgery (DCS) represents a staged management approach for those injured patients who present with severe physiological compromise and who require surgical intervention. This strategy focuses on the physiological and biochemical stabilization of the...
Mar 11, 2021 · Narrative (vote counting) synthesis of evidence for indications for use of damage control surgery in civilian trauma patients. This systematic review is the first to comprehensively compile and critically analyze the evidence for use of DC surgery and DC interventions in civilian trauma patients.
The aim of damage control surgery is to deliver a resuscitated patient to intensive care so that definitive surgery can happen in a stable environment. It focuses on restoring patient physiology rather than anatomy, and involves the rapid control of haemorrhage and contamination.
Feb 16, 2024 · The principles of damage control surgery include abbreviated surgery to control haemorrhage and limit contamination followed by resuscitation strategies to improve the physiology before completing definitive repair of all injuries.
Mar 28, 2013 · In patients with major abdominal trauma, damage control surgery (DCS) avoids extensive procedures on unstable patients, stabilizes potentially fatal problems at initial operation, and applies staged surgery after successful initial resuscitation.
