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Managing uncontrolled bleeding in elective surgery: The role of damage control techniques
Atsushi Nanashima1, Takashi Wada1, Fumiaki Kawano1
1Division of Hepato-Biliary-Pancreas Surgery, University of Miyazaki Faculty of Medicine, 5200 Kihara, Kiyotake, Miyazaki 889-1692, Japan.
International Journal of Surgery Case Reports
|February 21, 2025
Summary
Damage control surgery (DCS) is a life-saving intervention for massive bleeding during elective surgeries when conventional methods fail. This approach stabilizes patients with hemorrhagic shock and coagulopathy, enabling favorable outcomes in complex cases.
Area of Science:
- Surgical Oncology
- Trauma Surgery
- Hepatobiliary Surgery
Background:
- Massive bleeding in elective surgeries presents significant challenges, often exceeding the efficacy of traditional hemostatic procedures, especially with uncontrolled coagulopathy.
- Damage control surgery (DCS) is a recognized strategy in trauma care for managing hemorrhagic shock, coagulopathy, hypothermia, and acidosis.
- DCS can be a critical intervention for unexpected massive bleeding in elective settings, particularly in patients with unstable vital signs or increased intra-abdominal pressure.
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