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Damage Control Surgery for Emergency General Surgery

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Acute Care Surgery Handbook

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Abstract

Damage control surgery is an established and validated operative strategy, indicated for a select minority of trauma patients that present in physiological extremis and require immediate surgical control of haemorrhage and contamination [1–5]. Traditionally, surgeons aimed for primary definitive care, an operative strategy that aimed to achieve complete anatomical restoration in one intervention. While this approach served the majority of trauma patients well, patients with severe physiological derangements were at times unable to tolerate the additional physiological stressors of surgery. This subgroup, defined by their state of shock and physiological compromise, was not optimally served by this primary definitive care approach, and was in need of an alternative treatment modality.

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References

  1. Waibel BH, Rotondo MF. Damage control for intra-abdominal sepsis. Surg Clin N Am. 2012;92:243–57.

    Article  PubMed  Google Scholar 

  2. Chovanes J, Cannon JW, Nunez TC. The evolution of damage control surgery. Surg Clin N Am. 2012;92:859–75.

    Article  PubMed  Google Scholar 

  3. Waibel BH, Rotondo MMF. Damage control surgery: its evolution over the last 20 years. Rev Col Bras Cir. 2012;39:314–21.

    Article  PubMed  Google Scholar 

  4. Rotondo MF, Zonies DH. The damage control sequence and underlying logic. Surg Clin N Am. 1997;77:761–77.

    Article  CAS  PubMed  Google Scholar 

  5. Moore EE. Staged laparotomy for the hypothermia, acidosis, and coagulopathy syndrome. Am J Surg. 1996;172:405.

    Article  CAS  PubMed  Google Scholar 

  6. Rotondo MF, Schwab CW, McGonigal MD, et al. “Damage control”: an approach for improved survival in exsanguinating penetrating abdominal injury. J Trauma. 1993;35:375–82.

    Article  CAS  PubMed  Google Scholar 

  7. Stone H, Strom P, Mullins R. Management of the major coagulopathy with onset during laparotomy. Ann Surg. 1983;194:532–5.

    Article  Google Scholar 

  8. Ivatury R, Nallathambi M, Gunduz Y, et al. Liver packing in uncontrolled haemorrhage: a reappraisal. J Trauma. 1986;26:744–53.

    Article  CAS  PubMed  Google Scholar 

  9. Burch JM, Ortiz VB, Richardson RJ, et al. Abbreviated laparotomy and planned reoperation for critically injured patients. Ann Surg. 1992;215:476–84.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  10. Weber DG, Bendinelli C, Balogh ZJ. Damage control surgery for abdominal emergencies. Br J Surg. 2014;101:e109–18.

    Article  CAS  PubMed  Google Scholar 

  11. Leppäniemi AK. Damage control – a paradigm change in trauma and emergency surgery. Pol Przegl Chir. 2010;82:484–8.

    Google Scholar 

  12. Leppäniemi AK. Physiology and emergency surgery. Scand J Surg. 2006;95:135.

    Article  PubMed  Google Scholar 

  13. Moore LJ, Moore FA. Early diagnosis and evidence-based care of surgical sepsis. J Intensive Care Med. 2013;28:107–17.

    Article  PubMed  Google Scholar 

  14. Dellinger P, Levy MM, Rhodes A, et al. Surviving sepsis campaign: international guidelines for management of severe sepsis and septic shock: 2012. Crit Care Med. 2013;41:580–637.

    Article  PubMed  Google Scholar 

  15. Finlay IG, Edwards TJ, Lambert AW. Damage control laparotomy. Br J Surg. 2004;91:83–5.

    Article  CAS  PubMed  Google Scholar 

  16. Freeman AJ, Graham JC. Damage control surgery and angiography in cases of acute mesenteric ischaemia. ANZ J Surg. 2005;75:308–14.

    Article  PubMed  Google Scholar 

  17. Banieghbal B, Davies MR. Damage control laparotomy for generalized necrotizing enterocolitis. World J Surg. 2004;28:183–6.

    Article  PubMed  Google Scholar 

  18. Tamijmarane A, Ahmed I, Bhati CS, et al. Role of completion pancreatectomy as a damage control option for post-pancreatic surgical complications. Dig Surg. 2006;23:229–34.

    Article  CAS  PubMed  Google Scholar 

  19. Stawicki SP, Brooks A, Bilski T, et al. The concept of damage control: extending the paradigm to emergency general surgery. Injury. 2008;39:93–101.

    Article  PubMed  Google Scholar 

  20. Person B, Dorfman T, Bahouth H, Osman A, Assalia A, Kluger Y. Abbreviated emergency laparotomy in the non-trauma setting. World J Emerg Surg. 2009;4:41–4.

    Article  PubMed  PubMed Central  Google Scholar 

  21. Ball CG, Correa-Gallego C, Howard TJ, Zyromski NJ, Lillemoe KD. Damage control principles for pancreatic surgery. J Gastrointest Surg. 2010;14:1632–3.

    Article  PubMed  Google Scholar 

  22. Filicori F, Di Saverio S, Casali M, Biscardi A, Baldoni F, Tugnoli G. Packing for damage control of nontraumatic intra-abdominal massive hemorrhages. World J Surg. 2010;34:2064–8.

    Article  PubMed  Google Scholar 

  23. Gong JF, Zhu WM, Wu XJ, Li N, Li JS. Damage control surgery for acute mesenteric ischemia. Shonghua Vei Chang Wai Ke Za Zhi. 2010;13:22–5.

    Google Scholar 

  24. Morgan K, Mansker D, Adams DB. Not just for trauma patients: damage control laparotomy in pancreatic surgery. J Gastrointest Surg. 2010;14:768–72.

    Article  PubMed  Google Scholar 

  25. Perathoner A, Klaus A, Mühlmann G, Oberwalder M, Margreiter R, Kafka-Ritsch R. Damage control with abdominal vacuum therapy (VAC) to manage perforated diverticulitis with advanced generalized peritonitis – a proof of concept. Int J Colorectal Dis. 2010;25:767–74.

    Article  PubMed  Google Scholar 

  26. Subramanian A, Balentine C, Palacio CH, Sansgiry S, Berger DH, Awad SS. Outcomes of damage-control celiotomy in elderly nontrauma patients with intra-abdominal catastrophes. Am J Surg. 2010;200:783–9.

    Article  PubMed  Google Scholar 

  27. Tadlock MD, Sise MJ, Riccoboni ST, et al. Damage control in the management of ruptured abdominal aortic aneurysm: preliminary results. Vasc Endovascular Surg. 2010;44:638–44.

    Article  PubMed  Google Scholar 

  28. Kafka-Ritsch R, Birkfellner F, et al. Damage control surgery with abdominal vacuum and delayed bowel reconstruction in patients with perforated diverticulitis Hinchey III/IV. J Gastrointest Surg. 2012;16:1915–22.

    Article  PubMed  Google Scholar 

  29. Khan A, Hsee L, Mathur S, Civil I. Damage control laparotomy I nontrauma patients: review of indications and outcomes. J Trauma. 2013;75:365–8.

    Article  Google Scholar 

  30. Goussous N, Jenkins DH, Zielinski MD. Primary fascial closure after damage control laparotomy: sepsis vs haemorrhage. Injury. 2014;45:151–5.

    Article  PubMed  Google Scholar 

  31. Liu K, Meng J, Yang S, et al. Transcatheter trhomolysis combined with damage control surgery for treatment of acute mesenteric venous thrombosis associated with bowel necrosis: a retrospective study. World J Emerg Surg. 2015;10:50.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Nentwich MF, El Gammal AT, Lemcke T, et al. Salvage completion pancreatectomies as damage control for post-pancreatic surgery complications: a single centre retrospective analysis. World J Surg. 2015;39:1550–6.

    Article  PubMed  Google Scholar 

  33. Higa G, Friese R, O’Keeffe T, et al. Damage control laparotomy: a vital tool once overused. J Trauma. 2010;69:53–9.

    Article  PubMed  Google Scholar 

  34. Paul J, Ridolfi TJ. A case study in intra-abdominal sepsis. Surg Clin N Am. 2012;92:1661–7.

    Article  PubMed  Google Scholar 

  35. Mughal MM, Bancewicz J, Irving MH. Laparostomy: a technique for the management of intractable abdominal sepsis. Br J Surg. 1986;73:253–9.

    Article  CAS  PubMed  Google Scholar 

  36. Schein M, Saadia R, Freinkel Z, Decker GAG. Aggressive treatment of severe diffuse peritonitis: a prospective study. Br J Surg. 1988;75:173–6.

    Article  CAS  PubMed  Google Scholar 

  37. Ivatury RR, Nallathambi M, Rao PM, Rohman M, Stahl WM. Open management of the septic abdomen: therapeutic and prognostic considerations based on APACHE II. Crit Care Med. 1989;17:511–7.

    Article  CAS  PubMed  Google Scholar 

  38. Schein M. Planned reoperations and open management in critical intra-abdominal infections: prospective experience in 52 cases. World J Surg. 1991;15:537–45.

    Article  CAS  PubMed  Google Scholar 

  39. Moore F, Moore LJ. Damage control Laparotomy in Surgical Sepsis. In: Moore LJ, Turner KL, Todd SR, editors. Common problems in acute care surgery. New York: Springer; 2013.

    Chapter  Google Scholar 

  40. Diaz JJ, Cullinane DC, Dutton WD, et al. The management of the open abdomen in trauma and emergency general surgery: part 1 – damage control. J Trauma. 2010;68:1425–38.

    Article  PubMed  Google Scholar 

  41. Pick AW, Mackay J. Laparostomy: a technique for the management of severe abdominal sepsis. ANZ J Surg. 1993;63:888–93.

    Article  CAS  Google Scholar 

  42. Balogh Z, McKinley BA, Holcomb JB, et al. Both primary and secondary abdominal compartment syndrome can be predicted early and are harberingers of multiple organ failure. J Trauma. 2003;54:848–59.

    Article  PubMed  Google Scholar 

  43. Balogh Z, McKinley BA, Cox Jr CS, et al. Abdominal compartment syndrome: the cause or effect of postinjury multiple organ failure. Shock. 2003;20:483–92.

    Article  PubMed  Google Scholar 

  44. Balogh ZJ, Yoshino O. Abdominal compartment syndrome. In: Moore LJ, Turner KL, Todd SR, editors. Common problems in acute care surgery. New York: Springer; 2013.

    Google Scholar 

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Disclosures

The authors have no conflicts of interest to declare. This manuscript is entirely the work of the authors.

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No funding was received.

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Authors and Affiliations

  1. Trauma and General Surgeon, Royal Perth Hospital, The University of Western Australia, The University of Newcastle, 197 Wellington St, Perth, WA, 6000, Australia

    Dieter G. Weber MBBS (Hons.), FRACS

  2. Trauma, Endocrine and General Surgeon, John Hunter Hospital, The University of Newcastle, Newcastle, Australia

    Cino Bendinelli MD, FRACS

Authors
  1. Dieter G. Weber MBBS (Hons.), FRACS
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  2. Cino Bendinelli MD, FRACS
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Corresponding author

Correspondence to Dieter G. Weber MBBS (Hons.), FRACS .

Editor information

Editors and Affiliations

  1. Emergency and Trauma Surgery Service, C.A. Pizzardi Maggiore Hospital AUSL Bologna, Bologna, Italy

    Salomone Di Saverio

  2. Emergency and Trauma Surgery, Maggiore Hospital of Parma, Parma, Italy

    Fausto Catena

  3. General, Emergency and Trauma Surgery Papa Giovanni XXIII Hospital, Bergamo, Italy

    Luca Ansaloni

  4. General, Emergency and Trauma Surgery Papa Giovanni XXIII Hospital, Bergamo, Italy

    Federico Coccolini

  5. Trauma, Emergency Medicine Harvard Medical School, Massachusetts General Hospital, Boston, Massachusetts, USA

    George Velmahos

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Weber, D.G., Bendinelli, C. (2017). Damage Control Surgery for Emergency General Surgery. In: Di Saverio, S., Catena, F., Ansaloni, L., Coccolini, F., Velmahos, G. (eds) Acute Care Surgery Handbook. Springer, Cham. https://doi.org/10.1007/978-3-319-15341-4_22

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  • DOI: https://doi.org/10.1007/978-3-319-15341-4_22

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-15340-7

  • Online ISBN: 978-3-319-15341-4

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