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Updated: May 24, 2026
06:45
Colon Ascendens Stent Peritonitis (CASP) - a Standardized Model for Polymicrobial Abdominal Sepsis
Published on: December 18, 2010
Damage control for intra-abdominal sepsis
Brett H Waibel1, Michael F Rotondo
1Department of Surgery, The Brody School of Medicine, East Carolina University, Greenville, NC 27834, USA. brett.waibel@pcmh.com
The Surgical Clinics of North America
|March 15, 2012
Summary
Damage control surgery, initially for trauma, now aids severe peritonitis management. This structured approach complements existing surgical principles for critical shock patients.
Area of Science:
- Surgical critical care
- Trauma surgery
- Peritonitis management
Background:
- Damage-control surgery (DCS) has proven effective for exsanguinating truncal trauma.
- Shock states, including those from severe secondary peritonitis, present complex surgical challenges.
Purpose of the Study:
- To explore the adaptation of damage-control surgery principles to manage severe secondary peritonitis.
- To evaluate how DCS can integrate with established sepsis management guidelines.
Main Methods:
- The study reviews the application of a structured, staged surgical approach.
- It discusses the incorporation of elements from the Surviving Sepsis Campaign.
Main Results:
- The damage-control framework is adaptable to peritonitis and shock.
- It can be integrated with Surviving Sepsis Campaign guidelines.
Conclusions:
- Damage-control surgery offers a viable framework for managing severe secondary peritonitis in shock.
- This approach complements, rather than replaces, fundamental surgical principles like source control.
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