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Damage Control Surgery

  • Jéssica Romanelli Amorim de Souza
  • Phillipe Abreu
  • Adonis Nasr
  • Flavio Saavedra Tomasich
  • Antonio Marttos
  • Iwan Collaço
Chapter

Abstract

Damage control surgery (DCS) is an abbreviated laparotomy for patients who have life-threating bleeding, injuries, and septic sources. The procedure consists of hemorrhage control, by procedures like hemostasis, packing, clamping, and ligation; limits contamination by simple resections, primary suturation, closed absorbent systems, and external drainage; and leads to temporary abdominal closure as quickly as possible. The non-life-threatening injuries are delayed to a reoperation. The main purpose of the damage control surgery is to prevent complications of the lethal triad: coagulopathy, acidosis, and hypothermia.

Keywords

Damage control surgery Penetrating trauma Blunt trauma Laparotomy Lethal triad Trauma 

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Jéssica Romanelli Amorim de Souza
    • 1
  • Phillipe Abreu
    • 1
  • Adonis Nasr
    • 1
  • Flavio Saavedra Tomasich
    • 1
  • Antonio Marttos
    • 2
  • Iwan Collaço
    • 3
  1. 1.Iwan Collaço Trauma Research Group, Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil
  2. 2.William Lehman Injury Research Center, Division of Trauma & Surgical Critical Care, Dewitt Daughtry Department of Surgery, Leonard M. Miller School of Medicine Miami, University of MiamiMiamiUSA
  3. 3.Department of Surgery, Hospital do Trabalhador Trauma Center, Federal University of ParanaCuritibaBrazil

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