Damage Control Surgery in Obstetrics state of the art.
Keywords:
damage control resuscitation, Damage control surgery, obstetric hemorrhage, abdominal packing, coagulopathy, Multiple Organ Failure, Obstetric Surgical ProceduresArticle Sidebar
Accepted 2025-02-03
Published 2024-09-30
Main Article Content
Damage control surgery in obstetrics is a technique aimed at managing catastrophic obstetric hemorrhage when conventional methods have failed. Its main objective is to control the bleeding and stabilize the patient, allowing for the correction of metabolic alterations and coagulopathies. This intervention is carried out in stages: it begins with an abbreviated laparotomy, followed by abdominal tamponade and culminates with transfer to the intensive care unit for subsequent stabilization. The proper application of this approach has been shown to improve survival rates in cases of massive hemorrhage, and the article provides a detailed review of the techniques, indications, complications and outcomes associated with this procedure.
Alejandro Lenin Villalobos Rodríguez, General Hospital of Playa del Carmen, Q. Roo, México
https://orcid.org/0000-0001-8410-0209
Mejía D, Pereira Warr S, Delgado-López CA, Salcedo A, Rodríguez-Holguín F, Serna JJ, et al. Reinterventions after damage control surgery. Colomb Med (Cali) 2021; 52(2): e4154805. https://doi.org/10.25100/cm.v52i2.4805 PMid:34908623 PMCid:PMC8634277
Ordóñez CA, Nieto AJ, Carvajal JA, Burgos JM, Messa A, Forero AM, et al. Damage control surgery for the management of major obstetric hemorrhage: experience from the Fundación Valle Del Lili, Cali, Colombia. Panam J Trauma Crit Care Emerg Surg. 2017; 6(1): 1-7. https://doi.org/10.5005/jp-journals-10030-1164
Carvajal JA, Ramos I, Kusanovic JP, Escobar MF. Damage-control resuscitation in obstetrics. J Matern Fetal Neonatal Med. 2022; 35(4): 785-798. https://doi.org/10.1080/14767058.2020.1730800 PMid:32102586
Ordoñez C, Pino L, Badiel M, Loaiza J, Ramirez O, Rosso F, et al. The 1-2-3 approach to abdominal packing. World J Surg. 2012;36(12): 2761-2766. https://doi.org/10.1007/s00268-012-1745-3 PMid:22955950
Spahn DR, Bouillon B, Cerny V, Cerny V, Cimpoesu D, Curry N, et al. The European guideline on management of major bleeding and coagulopathy following trauma: fifth edition. Crit Care. 2019; 23(1): 98. https://doi.org/10.1186/s13054-019-2347-3 PMid:30917843 PMCid:PMC6436241
García A, Millán M, Burbano D, Ordoñez CA, Parra MW, González HA, et al. Damage control in abdominal vascular trauma. Colomb Med (Cali). 2021; 52(2): e4064808. https://doi.org/10.25100/cm.v52i2.4808 PMid:35027780 PMCid:PMC8754163
Yoong W, Lavina A, Ali A, Sivashanmugarajan V, Govind A, McMonagle M. Abdomino-pelvic packing revisited: An often forgotten technique for managing intractable venous obstetric haemorrhage. Aust N Z J Obstet Gynaecol. 2019; 59(2): 201-207. https://doi.org/10.1111/ajo.12909 PMid:30357810
Parks J, Naar L, Bokenkamp M, van Erp IAM, Mikdad S, Maurer LR, et al. Preperitoneal pelvic packing is associated with increased risk of venous thromboembolism. J Surg Res. 2022; 280: 85-93. https://doi.org/10.1016/j.jss.2022.06.075 PMid:35964486
Touhami O, Marzouk SB, Kehila M. Efficacy and safety of pelvic packing after emergency peripartum hysterectomy (EPH) in postpartum hemorrhage (PPH) setting. Eur J Obstet Gynecol Reprod Biol. 2016; 202: 32-5. https://doi.org/10.1016/j.ejogrb.2016.04.013 PMid:27156153
Touhami O, Bouzid A, Ben Marzouk S, Kehila M, Badis CM, El Magherbi H. Pelvic packing for intractable obstetric hemorrhage after emergency peripartum hysterectomy: a review. Obstet Gynecol Surv. 2018; 73(2): 110-5. https://doi.org/10.1097/OGX.0000000000000537 PMid:29480925
Serfin J, Dai C, Harris JR, Smith N. Damage control laparotomy and management of the open abdomen. Surg Clin N Am. 2024; 104(3): 355-366. https://doi.org/10.1016/j.suc.2023.09.008 PMid:38453307
Ottolino P. Managing the open abdomen: selecting an appropriate treatment strategy. Advances in Wound Care. 2024; 13(8): 400-413. https://doi.org/10.1089/wound.2023.0121 PMid:38963339
Pacheco LD, Lozada MJ, Saade GR, Hankins GDV. Damage-control surgery for obstetric hemorrhage. Obstetrics Gynecology. 2018; 132(2): 423-427. https://doi.org/10.1097/AOG.0000000000002743 PMid:29995745
Mejía D, Pereira Warr S, Delgado-López CA, Salcedo A, Rodríguez-Holguín F, Serna JJ, et al. Reinterventions after damage control surgery. Colomb Med (Cali). 2021; 52(2): e4154805. https://doi.org/10.25100/cm.v52i2.4805 PMid:34908623 PMCid:PMC8634277
Akaraborworn O. Damage control resuscitation for massive hemorrhage. Chin J Traumatol. 2014; 17(2): 108-111. https://doi.org/10.3760/cma.j.issn.1008-1275.2014.02.010
Peña PCA, Meza MJM, Martínez BYI. Manejo integral de la reanimación en el paciente con hemorragia crítica: reanimación de control de daños. Med Crit. 2021; 35(4): 200-205. https://doi.org/10.35366/101159
Deffieux X, Vinchant M, Wigniolle I, Goffinet F, Sentilhes L. Maternal outcome after abdominal packing for uncontrolled postpartum hemorrhage despite peripartum hysterectomy. PLoS One. 2017; 12(6): e0177092. https://doi.org/10.1371/journal.pone.0177092 PMid:28570643 PMCid:PMC5453422
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