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Related Experiment Videos

Damage control surgery: current state and future directions.

Daniel Benz1, Zsolt J Balogh

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

Current Opinion in Critical Care
|October 17, 2017
PubMed
Summary

Damage control surgery (DCS) is a staged approach for critically injured patients. While still vital for specific cases, advances in trauma care are reducing its necessity.

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Area of Science:

  • Trauma Surgery
  • Surgical Critical Care
  • Emergency Medicine

Background:

  • Damage control surgery (DCS) is a staged surgical approach for critically injured trauma patients.
  • Originally for hepatic trauma and coagulopathy, DCS indications have expanded to extra-abdominal trauma and non-traumatic emergencies.
  • Current DCS practice lacks robust evidence, with concerns regarding variable indications, rates, and outcomes in poorly selected patients.

Purpose of the Study:

  • To review the current evidence and practice of Damage Control Surgery (DCS).
  • To highlight the evolving indications and outcomes associated with DCS.
  • To address concerns regarding variability and adverse outcomes in DCS patient cohorts.

Main Methods:

  • Literature review of recent efforts to synthesize evidence-based indications for DCS.

Related Experiment Videos

  • Analysis of advancements in trauma resuscitation techniques and their impact on DCS utilization.
  • Examination of clinical practice patterns and outcomes associated with DCS.

    • Main Results:

    • Recent efforts focus on evidence-based indications to guide DCS clinical practice.
    • Advances in trauma resuscitation have improved patient outcomes and reduced the need for DCS.
    • Variability in DCS indications, rates, and adverse outcomes persists in certain patient groups.

    Conclusions:

    • Damage control surgery (DCS) remains a crucial strategy for specific patient populations.
    • Ongoing developments in early trauma care are expected to further decrease the reliance on DCS for severely injured patients.