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Related Experiment Video

Updated: May 5, 2026

A Case Series of Successful Abdominal Closure Utilizing a Novel Technique Combining a Mechanical Closure System with a Biologic Xenograft that Accelerates Wound Healing
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Damage control surgery for abdominal emergencies.

D G Weber1, C Bendinelli, Z J Balogh

  • 1Department of Traumatology, John Hunter Hospital and University of Newcastle, Newcastle, New South Wales, Australia.

The British Journal of Surgery
|November 26, 2013
PubMed
Summary
This summary is machine-generated.

Damage control surgery, a life-saving tactic for critically ill patients, involves abbreviated laparotomy and reoperation for abdominal emergencies. This strategy reduces mortality in patients with physiological derangement, though evidence is limited.

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Area of Science:

  • Surgical Emergency Management
  • Critical Care Medicine
  • Abdominal Surgery

Background:

  • Damage control surgery (DCS) is a strategy to reduce mortality in severely injured patients with physiological derangement.
  • DCS principles are increasingly applied to non-trauma abdominal emergencies to lower mortality compared to primary definitive surgery.

Purpose of the Study:

  • To review current understanding of damage control surgery for abdominal surgical emergencies.
  • To explore future research directions in this field.

Main Methods:

  • A literature review of PubMed/MEDLINE data from the past decade (up to August 2013).

Main Results:

  • DCS involves abbreviated laparotomy and reoperation for critically ill patients, with indications including hemorrhage or sepsis.
  • Limited evidence (16 studies, 455 patients) validates DCS in general surgical emergencies, mostly retrospective case series.
  • Widespread acceptance exists among surgeons due to logical pathophysiological extension from trauma, requiring careful patient selection.

Conclusions:

  • Damage control surgery is a recognized life-saving tactic for physiologically deranged patients in various abdominal emergencies.
  • Its application is expanding in emergency surgery.