Abdominal damage control surgery and reconstruction: World society of emergency surgery position paper

Laura Godat, Leslie Kobayashi, Todd Costantini, Raul Coimbra

Research output: Contribution to journalReview articlepeer-review

78 Scopus citations

Abstract

Damage control laparotomy was first described by Dr. Harlan Stone in 1983 when he suggested that patients with severe trauma should have their primary procedures abbreviated when coagulopathy was encountered. He recommended temporizing patients with abdominal packing and temporary closure to allow restoration of normal physiology prior to returning to the operating room for definitive repair. The term damage control in the trauma setting was coined by Rotondo et al., in 1993. Studies in subsequent years have validated this technique by demonstrating decreased mortality and immediate post-operative complications. The indications for damage control laparotomy have evolved to encompass abdominal compartment syndrome, abdominal sepsis, vascular and acute care surgery cases. The perioperative critical care provided to these patients, including sedation, paralysis, nutrition, and fluid management strategies may improve closure rates and recovery. In the rare cases of inability to primarily close the abdomen, there are a number of reconstructive strategies that may be used in the acute and chronic phases of abdominal closure.

Original languageEnglish (US)
Article number53
JournalWorld Journal of Emergency Surgery
Volume8
Issue number1
DOIs
StatePublished - Dec 17 2013
Externally publishedYes

Keywords

  • Abdominal compartment syndrome
  • Damage control
  • Temporary abdominal closure
  • Trauma

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