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Damage control in the abdomen and beyond.

J A Loveland¹, K D Boffard

¹Department of Surgery, Johannesburg Hospital, University of the Witwatersrand, Johannesburg, South Africa.

The British Journal of Surgery

|September 28, 2004

Summary

Damage control surgery, a paradigm in trauma care, stabilizes patients to prevent metabolic failure. This approach prioritizes physiological stability over immediate, complete repair in high-energy injuries.

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Area of Science:

Trauma Surgery
Surgical Innovation

Background:

Damage control surgery is an evolving paradigm in trauma care.
It addresses the needs of patients with multiple high-energy injuries.

Purpose of the Study:

To define damage control surgery and its role in trauma management.
To highlight the importance of physiological stability in critically injured patients.

Main Methods:

A comprehensive Medline search was conducted for English language articles.
Articles were cross-referenced, including academic and historical sources.

Main Results:

Damage control surgery, also termed 'damage limitation surgery' or 'abbreviated laparotomy', focuses on immediate anatomical stabilization.
The primary goal is to prevent irreversible metabolic deterioration.

Conclusions:

Patients are at higher risk of death from metabolic failure than incomplete organ repair.
Damage control surgery enables patients to maintain a sustainable physiological state, improving outcomes.

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