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Principles of Damage Control for Pediatric Trauma

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Damage Control Management in the Polytrauma Patient

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Abstract

Pediatric general surgery has embraced the concept of “damage control” operations as the standard of care for decades, though not necessarily by name. Temporary abdominal wall closure has been utilized by pediatric surgeons in the management of congenital abdominal wall defects since first described by Schuster in 1967 [1]. The use of prosthetic material for coverage of abdominal contents allowed for second-look procedures, avoidance of abdominal compartment syndrome, and delayed closure after resuscitation and stabilization. The effect of this strategy was to improve survival and decrease morbidity in critically ill neonates with a range of pathology (gastroschisis, necrotizing enterocolitis, midgut volvulus, etc.). The use of damage control principles for the management of trauma followed later as this practice increased in popularity for the management of injured adults.

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Authors and Affiliations

  1. Department of Pediatric General and Thoracic Surgery, Children’s Hospital of Pittsburgh of UPMC, Pittsburgh, Pennsylvania, USA

    Christine M. Leeper MD, MS & Barbara A. Gaines MD

  2. Division of General Surgery and Trauma, Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA

    Christine M. Leeper MD, MS & Andrew Peitzman MD

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  1. Christine M. Leeper MD, MS
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  2. Andrew Peitzman MD
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  3. Barbara A. Gaines MD
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Correspondence to Barbara A. Gaines MD .

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Editors and Affiliations

  1. Department of Trauma, Zurich University, Zurich, Switzerland

    Hans-Christoph Pape

  2. Division of General Surgery, University of Pittsburgh, School of Medicine, Pittsburgh, Pennsylvania, USA

    Andrew B. Peitzman

  3. Department of Surgery, Division of Acute Care Surgery, University of Rochester, Medical Center, Rochester, New York, USA

    Michael F. Rotondo

  4. Department of Academic Trauma & Orthopaedics, University of Leeds, Leeds, West Yorkshire, United Kingdom

    Peter V. Giannoudis

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Leeper, C.M., Peitzman, A., Gaines, B.A. (2017). Principles of Damage Control for Pediatric Trauma. In: Pape, HC., Peitzman, A., Rotondo, M., Giannoudis, P. (eds) Damage Control Management in the Polytrauma Patient. Springer, Cham. https://doi.org/10.1007/978-3-319-52429-0_22

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