Skip to main content
SpringerLink
Log in

Damage Control Surgery: Concepts

  • Chapter
  • First Online:
Ryan's Ballistic Trauma

  • 1543 Accesses

Abstract

Damage Control Surgery (DCS) is an operative strategy that sacrifices the completeness of the immediate surgical repair in order to address the physiological consequences of the combined trauma of the injury and surgery. In the past this has been very much focussed on abdominal trauma and the idea of performing an “abbreviated laparotomy.” However the concepts outlined here are applicable to injury beyond the abdomen.1-3

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 269.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Johnson JW, Gracias VH, Schwab CW, Reilly PM, et al. Evolution in damage control for exsanguinating penetrating abdominal injury. J Trauma. 2001;51(2):261-269. discussion 269-71.

    Article  PubMed  CAS  Google Scholar 

  2. Rezende-Neto J, Marques A, Guedes LJ, Teixeira LC. Damage control principles applied to penetrating neck and mandibular injuries. J Trauma Injury Infection Crit Care. 2008;64:1142-1143.

    Article  Google Scholar 

  3. Wall MJ, Soltero E. Damage control for thoracic injuries. Surg Clin North Am. 1977;77(4):863-877.

    Google Scholar 

  4. Rotondo M, Schwab CW, McGonigal MD, Phillips GR, et al. ‘Damage Control’: An approach for improved survival in exanguinating penetrating abdominal injury. J Trauma Injury Infection Crit Care. 1993;35(3):375-383.

    Article  CAS  Google Scholar 

  5. Burch JM, Oritz VB, Richardson RJ. Abbreviated laparotomy and planned reoperation for critically injured patients. Ann Surg. 1992;215:476-484.

    Article  PubMed  CAS  Google Scholar 

  6. Gregory JS, Flancbaum L, Townsend MC, Clouther CT, Jonasson O. Incidence and timing of hypothermia in trauma patients undergoing operations. J Trauma Injury Infection Crit Care. 1991;31(6):795-800.

    Article  CAS  Google Scholar 

  7. Steinemann S, Shackford SR, Davis JW. Implications of admission hypothermia in trauma patients. J Trauma Injury Infection Crit Care. 1990;30(2):200-202.

    Article  CAS  Google Scholar 

  8. Kheirabadi B, Crissey J, Deguzman R, Holcomb J. In vivo bleeding time and in vitro thromboelastography measurements are better indicators of dilutional hypothermic coagulopathy than prothrombin time. J Trauma Injury Infection Crit Care. 2007;62(6):1352-1361.

    Article  Google Scholar 

  9. Jurkovich GJ WBG, Luterman A, Curerri P. Hypothermia in trauma victims: An ominous predictor of survival. J Trauma Injury Infection Crit Care. 1987;27:1019-1024.

    Article  Google Scholar 

  10. Morris J Jr, Eddy V, Blinman T, Rutherford E, Sharp K. The staged celiotomy for trauma: Issues in packing and reconstruction. Ann Surg. 1993;217:576-586.

    Article  PubMed  Google Scholar 

  11. Moore EE, Burch JM, Franciose R, Offner P, Biffl W. Staged physiologic restoration and damage control surgery. World J Surg. 1998;22(12):1184-1190.

    Article  PubMed  CAS  Google Scholar 

  12. Talbert S, Trooskin S, Scalea T, Vieux E, et al. Packing and re-exploration for patients with non-hepatic injuries. J Trauma Injury Infection Crit Care. 1992;33:121-125.

    Article  CAS  Google Scholar 

  13. Holcomb J, Jenkins D, Rhee P, Johannigman J, et al. Damage control resuscitation: Directly addressing the early coagulopathy of trauma. J Trauma Injury Infection Crit Care. 2007;62:307-310.

    Article  Google Scholar 

  14. Kirkman E, Watts S, Hodgetts T, Mahoney P, Rawlinson S, Midwinter M. A proactive approach to the coagulopathy of trauma: The rational and guidelines for treatment. J Royal Army Medical Corps. 2008;153(4):302-306.

    Google Scholar 

  15. Brohi K, Singh J, Heron M, Coats T. Acute traumatic coagulopathy. J Trauma Injury Infection Crit Care. 2003;54(6):1127-1130.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, University Hospital, Birmingham, UK

    Mark J. Midwinter

Authors
  1. Mark J. Midwinter
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Adam J. Brooks
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mark J. Midwinter .

Editor information

Editors and Affiliations

  1. Dept. Surgery, Div. Traumatology &, University of Pennsylvania Medical Ctr., Spruce St. 3400, Philadelphia, 19104, Pennsylvania, USA

    Adam J. Brooks

  2. , Academic Department of Military Surgery, Frimley Park Foundation Trust, Surrey, GU16 7UJ, United Kingdom

    Jon Clasper

  3. Royal Centre for Defence Medicine, Institute of Research & Development, Acad. Dept. of Military Surgery & Trauma, Vincent Drive, Birmingham, B15 2SQ, United Kingdom

    Mark Midwinter

  4. Birmingham Research Park, Acad. Dept. of Military Emergency Med., Vincent Drive, Birmingham, B15 2SQ, United Kingdom

    Timothy J. Hodgetts

  5. Inst. Research & Development, Dept. Military Anaesthesia, Royal Centre for Defence Medicine, Vincent Drive, Edgbaston, Birmingham, B15 2SQ, United Kingdom

    Peter F. Mahoney

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer London

About this chapter

Cite this chapter

Midwinter, M.J., Brooks, A.J. (2011). Damage Control Surgery: Concepts. In: Brooks, A., Clasper, J., Midwinter, M., Hodgetts, T., Mahoney, P. (eds) Ryan's Ballistic Trauma. Springer, London. https://doi.org/10.1007/978-1-84882-124-8_23

Download citation

  • DOI: https://doi.org/10.1007/978-1-84882-124-8_23

  • Published:

  • Publisher Name: Springer, London

  • Print ISBN: 978-1-84882-123-1

  • Online ISBN: 978-1-84882-124-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation