Damage Control Surgery

Abstract

Objective: The basis of damage control surgery rests on quick control of life-threatening bleeding, injuries, and septic sources in the appropriate patients before restoring their physiological reserves as a first step followed by ensuring of the physiological reserves and control of acidosis, coagulopathy, and hypothermia prior to complementary surgery. Material and methods: Knowing when to perform damage control surgery will increase the likelihood of survival. There are three main criteria that are important in the selection of patients: (1) critical physiological factors, (2) complex injury causing the loss of physiological reserves, and (3) other conditions in trauma patients. Acidosis, acquired coagulopathy, and hypothermia (death triangle/the lethal triad) which are among critical physiological factors come to the fore in patient selection. In patients predicted to undergo damage control surgery, a replacement with crystalloids is applied after establishing a wide vascular access before reaching the hospital with the purpose of maintaining acceptable vital functions until reaching the hospital.

Criterios para ingreso a la tercera etapa de cirugía de control de daños en trauma abdominal en el Hospital General de Querétaro

“…pueden ser reparadas con mayor eficacia como con una embolización angiográfica, pacientes ancianos, o con otras comorbilidades. [23][24][25] Estrategia del método de la cirugía de control de daños…”