[Damage control surgery in patients with abdominal sepsis]

Area of Science:

• Surgical critical care
• Abdominal sepsis management

Background:

• Damage control surgery (DCS) and resuscitation enhance survival in trauma patients with compromised physiology.
• DCS principles are increasingly applied to abdominal sepsis, though evidence is limited.
• The goal is to stabilize patient physiology before definitive surgical intervention.

Purpose of the Study:

• To evaluate the application of DCS principles in managing abdominal sepsis.
• To optimize patient physiology prior to definitive surgical procedures in sepsis cases.
• To assess the efficacy of a primary decontaminating procedure with temporary abdominal closure.

Main Methods:

• Implementing a primary decontaminating surgical procedure.
• Utilizing temporary abdominal closure techniques.
• Avoiding immediate restoration of intestinal continuity and stoma formation.

Main Results:

• Reduced operating theatre time through a staged surgical approach.
• Physiological optimization achieved prior to definitive surgery.
• Potential for improved outcomes in abdominal sepsis management.

Conclusions:

• Damage control surgery principles offer a viable strategy for abdominal sepsis.
• Temporary abdominal closure and delayed reconstruction can optimize physiology.
• Further research is warranted to establish evidence-based guidelines for DCS in abdominal sepsis.