Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Experiment Videos

Damage control laparotomy.

I G Finlay1, T J Edwards, A W Lambert

  • 1Department of General Surgery and Ministry of Defence Hospital Unit, Derriford Hospital, Plymouth, UK.

The British Journal of Surgery
|January 13, 2004
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Exogenous mineralization of hard tissues using photo-absorptive minerals and femto-second lasers; the case of dental enamel.

Acta biomaterialia·2018
Same author

β-pyrophosphate: A potential biomaterial for dental applications.

Materials science & engineering. C, Materials for biological applications·2017
Same author

Breast lumps in service women.

Journal of the Royal Naval Medical Service·2014
Same author

23-hour/next day discharge post-laparoscopic Roux-en-Y gastric bypass (LRYGB) surgery is safe.

Obesity surgery·2014
Same author

Assisted death: a basic right or a threat to the principal purpose of medicine?

The journal of the Royal College of Physicians of Edinburgh·2014
Same author

Does the method of aeromedical evacuation from the point of wounding to a field hospital have an effect on subsequent blood product usage and patient physiology?

Journal of the Royal Naval Medical Service·2014
Same journal

Trimester-Specific Safety of Laparoscopic versus Open Abdominal Surgery During Pregnancy: A Systematic Review and Meta-analysis.

The British journal of surgery·2026
Same journal

The Gut Microbiome in Surgical Oncology: Mechanisms, Perioperative Outcomes, and Therapeutic Opportunities.

The British journal of surgery·2026
Same journal

Patient-led, home-based follow-up for colorectal cancer: the DISTANCE multicentre stepped-wedge cluster-randomised trial.

The British journal of surgery·2026
Same journal

Correction to: Reduced secretory efficiency in parathyroid carcinoma: diagnostic value of the PTH-to-tumour-volume ratio.

The British journal of surgery·2026
Same journal

Global disparities in hepatocellular carcinoma outcomes: multicentre study.

The British journal of surgery·2026
Same journal

Surgical Outcomes from Nationwide Implementation of the International Best-Practice for Locally Advanced Pancreatic Cancer (PREOPANC-4) study.

The British journal of surgery·2026
See all related articles

Damage Control Surgery (DCS) offers a survival advantage for critically ill patients without trauma. This approach significantly lowered observed mortality compared to predictions from POSSUM and P-POSSUM scoring.

Area of Science:

  • Surgical Critical Care
  • Emergency Medicine
  • Surgical Outcomes Research

Background:

  • Damage Control Surgery (DCS) is a standard treatment for trauma patients.
  • This study investigated the efficacy of DCS in critically ill patients without a trauma history.

Purpose of the Study:

  • To evaluate the outcomes of Damage Control Surgery in non-trauma critically ill patients.
  • To compare observed mortality with predicted mortality using POSSUM and P-POSSUM scores.

Main Methods:

  • A prospective series of 14 critically ill non-trauma patients treated with DCS.
  • Utilized Physiological and Operative Severity Score for the enUmeration of Mortality and morbidity (POSSUM) and Portsmouth predictor equation (P-POSSUM) for risk assessment.

Main Results:

Related Experiment Videos

  • The study included patients with sepsis from gastrointestinal perforation, ruptured aortic aneurysms, and postoperative bleeding.
  • Predicted mortality rates by POSSUM and P-POSSUM were 64.5% and 49.6%, respectively.
  • Observed mortality was 7.1%, significantly lower than predicted (P = 0.002 and P = 0.038).

Conclusions:

  • Damage Control Surgery (DCS) is associated with reduced mortality in critically ill non-trauma patients.
  • The findings suggest DCS is a viable option beyond trauma management.
  • POSSUM and P-POSSUM scores may overestimate mortality risk in this patient population.