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  1. Home /
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  3. Vol 51 No 4 (2020): Damage Control Surgery (I) /
  4. Editorial

Damage control surgery: a constant evolution

  • Abstract
  • Keywords
  • Author Biographies
  • References

Abstract

The story of trauma resuscitation is similar to that of many other advances in medicine: described, forgotten, reinvented, ridiculed, and finally accepted. Even after acceptance, the concepts go through periods of neglect and indifference before they are tried and enhanced, till the next advance.

            Damage control, a strategy for management of critically injured or ill patients, is a prime example of this phenomenon. It reminds us of the famous words of Oliver Goldsmith in 1761: “for he who fights and runs away, will live to fight another day, but he who is in battle slain, will never rise and fight again”.  Damage control was based on the recognition of the lethal triad of hypothermia, acidosis, and a coagulopathy resulting from massive blood loss, large-volume resuscitation and ischemia-reperfusion. It was an approach that J. Hogarth Pringle from Glasgow, Scotland, suggested in 1908 with his principles of compression and hepatic packing for control of venous hemorrhage from the injured liver: temporary, expeditious and effective. Packing, however, was rarely utilized during World War II and the Vietnam War because of the presumed risk of rebleeding with removal of the packs. The ever-difficult challenge of “non-surgical bleeding” from a coagulopathy due to massive hepatic injuries did, eventually, lead to a resurrection of the concept of perihepatic packing in the 1980s in civilian centers and became one of the initial steps in damage control for patients with severe and/or multiple intra-abdominal injuries.

Authors

  • Rao Ivatury Department of Surgery. Virginia Commonwealth University, Richmond, VA, USA https://orcid.org/0000-0001-7208-7836
  • David V Feliciano Department of Surgery. University of Maryland, Baltimore, MD, USA
  • Juan Pablo Herrera Department of Surgery, Harvard Medical School, Boston, MA, USA. https://orcid.org/0000-0002-3496-1470

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Keywords

  • Trauma Centers
  • Korean War
  • Operating Rooms
  • World War II
  • Military Personnel
  • Hypothermia
  • Laparotomy
  • Fellowships and Scholarships
  • Information Technology
  • Colombia
  • Damage control surgery

Author Biographies


, Department of Surgery. Virginia Commonwealth University, Richmond, VA, USA

orcid_id14.png https://orcid.org/0000-0001-7208-7836


, Department of Surgery, Harvard Medical School, Boston, MA, USA.

orcid_id14.png https://orcid.org/0000-0002-3496-1470

References

Goldsmith Oliver. Quotes. Tomado de: https://www.goodreads.com/author/quotes/65124.Oliver_Goldsmith. accessed June 4, 2020.

Pringle JH V. Notes on the Arrest of Hepatic Hemorrhage Due to Trauma. Ann Surg. 1908 Oct;48(4):541-9 https://doi.org/10.1097/00000658-190810000-00005

Lucas CE, Ledgerwood AM. Prospective evaluation of hemostatic techniques for liver injuries. J Trauma. 1976;16:442-51. https://doi.org/10.1097/00005373-197606000-00003

Feliciano DV, Mattox KL, Jordan Jr GL. Intra-abdominal packing for control of hepatic hemorrhage: a reappraisal. J Trauma. 1981;21:285-90. https://doi.org/10.1097/00005373-198104000-00005

Feliciano DV, Mattox KL, Burch JM et al : Packing for control of hepatic hemorrhage. J Trauma. 1986;26:738-43. https://doi.org/10.1097/00005373-198608000-00010

Ivatury RR, Nallathambi M, Gunduz et al : Liver packing for uncontrolled hemorrhage: a reappraisal. J Trauma. 1986;26:744-53. https://doi.org/10.1097/00005373-198608000-00011

Stone HH, Strom PR, Mullins RJ. Management of the major coagulopathy with onset during laparotomy. Ann Surg 1983;197:532- https://doi.org/10.1097/00000658-198305000-00005

Rotondo MF, Schwab CW, McGonigal MD et al. Damage control: an approach for improved survival in exsanguinating penetrating abdominal injury. J Trauma 93;35:375-383. https://doi.org/10.1097/00005373-199309000-00008

Cannon WB, Faser J, Collew EM: The preventive treatment of wound shock. JAMA, 47:618, 1918.

Cannon WB. Traumatic Shock. New York: Appleton, 1923. Google Scholar

Holcomb JB, Jenkins D, Rhee P, et al. Damage control resuscitation: directly addressing the early coagulopathy of trauma. J Trauma 2007; 62:307 https://doi.org/10.1097/TA.0b013e3180324124

Hughes CW. Use of an intra-aortic balloon catheter tamponade for controlling intra-abdominal hemorrhage in man. Surgery. 1954;36:65-68.

Ordonez CA, Rodriguez F, Parra M et al : Resuscitative Endovascular Balloon of the Aorta is feasible in penetrating chest trauma with major hemorrhage: Proposal of a new institutional deployment algorithm. .J Trauma Acute Care Surg. 2020 Apr 27. https://doi.org/10.1097/TA.0000000000002773

García AF, Manzano-Nunez R, Orlas CP et al : Association of resuscitative endovascular balloon occlusion of the aorta (REBOA) and mortality in penetrating trauma patients. .Eur J Trauma Emerg Surg. 2020 Apr 16. https://doi.org/10.1007/s00068-020-01370-9

Photograph: field surgery in the Dardanelles, 1915
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Published
2020-10-22
Submitted
2020-06-30
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How to Cite
Ivatury, R., Feliciano, D., & Herrera, J. (2020). Damage control surgery: a constant evolution. Colombia Médica, 51(4), e1014422. https://doi.org/10.25100/cm.v51i4.4422
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Vol 51 No 4 (2020): Damage Control Surgery (I)
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Editorial

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