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Damage Control Surgery

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Penetrating Trauma

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Abstract

Damage control surgery (DCS) implies a standard of care for the severely injured patient which has been in place for more than two decades. With DCS, the emphasis shifts towards minimising the physiological insult by performing only essential surgery, which is limited to the control of haemorrhage and contamination and the avoidance of prolonged reconstructive surgery. Prolonged surgery has been associated with an increased release of cytokines and multi-organ failure and together with that the lethal triad described in 1982 by Kashuk, consisting of:

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Author information

Authors and Affiliations

  1. Trauma Directorate, Chris Hani Baragwanath Academic Hospital, Department of Surgery, University of the Witwatersrand Medical School, 7 York Road, Parktown, Johannesburg, 2193, South Africa

    Riaan Pretorius & Frank Plani

  2. Milpark Academic Trauma Centre, Department of Surgery, University of the Witwatersrand Medical School, 7 York Road, Parktown, Johannesburg, 2193, South Africa

    Kenneth D. Boffard

Authors
  1. Riaan Pretorius
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  2. Frank Plani
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  3. Kenneth D. Boffard
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Corresponding author

Correspondence to Riaan Pretorius .

Editor information

Editors and Affiliations

  1. Professor of Surgery Division of Trauma, Emergency Surgery and Surgical Critical Care, Massachusetts General Hospital Harvard University Medical School, Boston, USA

    George C. Velmahos

  2. Professor Emeritus, Department of Surgery, University of the Witwatersrand Medical School, Milpark Hospital Academic Trauma Centre and Leratong Hospital, Johannesburg, South Africa

    Elias Degiannis

  3. Honorary Senior Lecturer, Department of Surgery, University of the Witwatersrand Medical School, Johannesburg, South Africa

    Dietrich Doll

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© 2017 Springer-Verlag Berlin Heidelberg

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Pretorius, R., Plani, F., Boffard, K.D. (2017). Damage Control Surgery. In: Velmahos, G., Degiannis, E., Doll, D. (eds) Penetrating Trauma. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49859-0_43

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  • DOI: https://doi.org/10.1007/978-3-662-49859-0_43

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  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-662-49857-6

  • Online ISBN: 978-3-662-49859-0

  • eBook Packages: MedicineMedicine (R0)

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