Damage control surgery for abdominal trauma

Abstract

Evidence that supports the efficacy of damage control surgery with respect to traditional laparotomy in patients with major abdominal trauma is limited.

Damage Control for Managing Life-Threatening Postpartum Hemorrhage

“…The term “damage control” refers in this context to an approach to patients with life-threatening injuries and consists of rapid surgical techniques to control hemorrhaging (intraabdominal packing) and temporary abdominal closure. 7 DCL or DCS improves outcomes when used in patients with severe hemorrhaging. Correction of coagulopathy with close ratio resuscitation, while limiting crystalloid, is a new methodology referred to as damage control resuscitation (DCR).…”

Damage Control for Managing Life-Threatening Postpartum Hemorrhage

“…The term “damage control” refers in this context to an approach to patients with life-threatening injuries and consists of rapid surgical techniques to control hemorrhaging (intraabdominal packing) and temporary abdominal closure. 7 DCL or DCS improves outcomes when used in patients with severe hemorrhaging. Correction of coagulopathy with close ratio resuscitation, while limiting crystalloid, is a new methodology referred to as damage control resuscitation (DCR).…”

Damage Control Pancreatoduodenectomy for Severe Pancreaticoduodenal Trauma: A Multicentric Case Series in Colombia

“…10,22,[34][35][36][37][38][39] When facing minor pancreaticoduodenal injuries, the therapeutic arsenal available to the surgeon includes different procedures and techniques that allow an approximation to this entity, such as primary repair, resection, primary anastomosis, jejunal patch, pyloric exclusion, and duodenal diverticulization; however, facing severe injuries such as those presented in our study, an emergency pancreatoduodenectomy should be carried out. [40][41][42][43][44][45] Krige et al also suggest that the best method of dealing with the divided pancreatic duct and resection margin after distal pancreatectomy for trauma is unresolved, for that reason that group proposes ligation of the pancreatic duct at the transection margin with a transfixing suture and closure of the distal pancreatic resection margin with interrupted absorbable suture to achieve adequate hemostasis and minimize fistula formation. 20 Postoperative pancreatic fistula remains the main source of major morbidity and mortality after pancreatic resection, affecting between 13% and 41% of patients.…”

Triple impalement by fishing spears (‘teta’): Surgical decision-making and multisite management in a resource-limited setting — A case report

“…In addition, multisite impalement carries the risk of sudden clinical deterioration due to occult vascular compromise, evolving peritonitis, or delayed septic complications. Therefore, the surgical strategy was guided not only by the anatomical injuries but also by principles of damage-control thinking aimed at minimizing postoperative morbidity and anastomotic failure in an uncertain physiological environment [16] . This case also highlights important differences between trauma management in resource-limited environments and high-resource trauma centers.…”

Damage Control for Managing Life-Threatening Postpartum Hemorrhage

“…The term “damage control” refers in this context to an approach to patients with life-threatening injuries and consists of rapid surgical techniques to control hemorrhaging (intraabdominal packing) and temporary abdominal closure. 7 DCL or DCS improves outcomes when used in patients with severe hemorrhaging. Correction of coagulopathy with close ratio resuscitation, while limiting crystalloid, is a new methodology referred to as damage control resuscitation (DCR).…”

Damage Control Pancreatoduodenectomy for Severe Pancreaticoduodenal Trauma: A Multicentric Case Series in Colombia

“…10,22,[34][35][36][37][38][39] When facing minor pancreaticoduodenal injuries, the therapeutic arsenal available to the surgeon includes different procedures and techniques that allow an approximation to this entity, such as primary repair, resection, primary anastomosis, jejunal patch, pyloric exclusion, and duodenal diverticulization; however, facing severe injuries such as those presented in our study, an emergency pancreatoduodenectomy should be carried out. [40][41][42][43][44][45] Krige et al also suggest that the best method of dealing with the divided pancreatic duct and resection margin after distal pancreatectomy for trauma is unresolved, for that reason that group proposes ligation of the pancreatic duct at the transection margin with a transfixing suture and closure of the distal pancreatic resection margin with interrupted absorbable suture to achieve adequate hemostasis and minimize fistula formation. 20 Postoperative pancreatic fistula remains the main source of major morbidity and mortality after pancreatic resection, affecting between 13% and 41% of patients.…”

Triple impalement by fishing spears (‘teta’): Surgical decision-making and multisite management in a resource-limited setting — A case report

“…In addition, multisite impalement carries the risk of sudden clinical deterioration due to occult vascular compromise, evolving peritonitis, or delayed septic complications. Therefore, the surgical strategy was guided not only by the anatomical injuries but also by principles of damage-control thinking aimed at minimizing postoperative morbidity and anastomotic failure in an uncertain physiological environment [16] . This case also highlights important differences between trauma management in resource-limited environments and high-resource trauma centers.…”

Damage Control for Managing Life-Threatening Postpartum Hemorrhage

“…The term “damage control” refers in this context to an approach to patients with life-threatening injuries and consists of rapid surgical techniques to control hemorrhaging (intraabdominal packing) and temporary abdominal closure. 7 DCL or DCS improves outcomes when used in patients with severe hemorrhaging. Correction of coagulopathy with close ratio resuscitation, while limiting crystalloid, is a new methodology referred to as damage control resuscitation (DCR).…”

Damage Control Pancreatoduodenectomy for Severe Pancreaticoduodenal Trauma: A Multicentric Case Series in Colombia

“…10,22,[34][35][36][37][38][39] When facing minor pancreaticoduodenal injuries, the therapeutic arsenal available to the surgeon includes different procedures and techniques that allow an approximation to this entity, such as primary repair, resection, primary anastomosis, jejunal patch, pyloric exclusion, and duodenal diverticulization; however, facing severe injuries such as those presented in our study, an emergency pancreatoduodenectomy should be carried out. [40][41][42][43][44][45] Krige et al also suggest that the best method of dealing with the divided pancreatic duct and resection margin after distal pancreatectomy for trauma is unresolved, for that reason that group proposes ligation of the pancreatic duct at the transection margin with a transfixing suture and closure of the distal pancreatic resection margin with interrupted absorbable suture to achieve adequate hemostasis and minimize fistula formation. 20 Postoperative pancreatic fistula remains the main source of major morbidity and mortality after pancreatic resection, affecting between 13% and 41% of patients.…”

Triple impalement by fishing spears (‘teta’): Surgical decision-making and multisite management in a resource-limited setting — A case report

“…In addition, multisite impalement carries the risk of sudden clinical deterioration due to occult vascular compromise, evolving peritonitis, or delayed septic complications. Therefore, the surgical strategy was guided not only by the anatomical injuries but also by principles of damage-control thinking aimed at minimizing postoperative morbidity and anastomotic failure in an uncertain physiological environment [16] . This case also highlights important differences between trauma management in resource-limited environments and high-resource trauma centers.…”