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Damage control surgery: old concepts and new indications.

C Yvonne Chung1, Thomas M Scalea

  • 1R Adams Cowley Shock Trauma Center, University of Maryland Medical System, Baltimore, Maryland.

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Damage control surgery principles remain consistent, but interventions have evolved. Judicious use of damage control surgery, combined with advanced resuscitation and adjuncts, optimizes outcomes for severely injured patients.

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Area of Science:

  • Surgical Critical Care
  • Trauma Surgery
  • Emergency Medicine

Background:

  • Damage control surgery principles involve rapid hemorrhage and contamination control, followed by delayed reconstruction.
  • These principles are applied to trauma and nontraumatic shock, including thoracic and orthopedic injuries.

Conclusions:

  • Optimal outcomes require judicious damage control surgery.
  • Advancements in resuscitation and surgical adjuncts are crucial.
  • Balancing damage control with definitive care is key for severely injured patients.