Keywords
Damage Assessment
Surgical Procedures
How to Cite
Copyright © | All rights reserved.
The journal holds the exclusive copyright for the publication of this article under the terms of Brazilian law 9610/98.
Partial reproduction
The use of parts of the texts, figures and questionnaire of the article is free, being mandatory the citation of the authors and journal.
Total reproduction
It is expressly prohibited and must be authorized by the journal.
Abstract
Objective: To analyze the content about damage control surgery (DCC) and its role in trauma, as well as its indications and patient profile. Literature review: CCD is a treatment that aims to ameliorate an unfavorable prognostic situation. The conditions that the CCD seeks to correct are patients that have the Lethal Triad consisting of hypothermia, metabolic acidosis and coagulopathy. The use of CCD may be necessary in trauma situations, but several factors must be taken into consideration before indicating this procedure. Furthermore, the best candidates for CCD in non-trauma patients are males over the age of 70 with multiple comorbidities, elevated lactate levels with acidosis, and severe sepsis or septic shock. In polytrauma patients with massive hemorrhage the procedure has been widely used. Final considerations: The likely candidate for such a procedure will be the one in which the chance of survival to definitive surgery is lower due to severe physiological compromise. However, this therapeutic choice continues to be debated due to variability in practical indications, eligibility criteria, and surgeon experience, since these are still subjective.
References
BENZ D e BALOGH ZJ. Damage control surgery: current state and future directions. Current Opinion In Critical Care, 2017; 23(6); 491-497.
BRITO END, et al. Cirurgia de controle de danos: princípios, etapas críticas e indicações. Brazilian Journal Of Development, 2021; 7(7): 69367-69385.
DITZEL RM, et al. A review of transfusion- and trauma-induced hypocalcemia: is it time to change the lethal triad to the lethal diamond. Journal Of Trauma And Acute Care Surgery, 2020; 88(3): 434-439.
ETIENNE JH e MASSALOU D. Damage control surgery: Management of severe abdominal trauma (with video). Journal of Visceral Surgery, 2019; 156 (1): 64-66.
HALTMEIER T, et al. Damage-control surgery in patients with nontraumatic abdominal emergencies: a systematic review and meta-analysis. Journal Of Trauma And Acute Care Surgery, 2022; 92(6): 1075-1085.
HARVIN JA, et al. Effect of damage control laparotomy on major abdominal complications and lengths of stay: A propensity score matching and Bayesian analysis. Journal Of Trauma And Acute Care Surgery, 2019; 87(2): 282-288.
HU P, et al. Impact of initial temporary abdominal closure in damage control surgery: a retrospective analysis. World Journal Of Emergency Surgery, 2018; 13(1): 43.
KALINTERAKIS G, et al. The evolution and impact of the “damage control orthopedics” paradigm in combat surgery: a review. European Journal Of Orthopaedic Surgery & Traumatology, 2019; 29(3): 501-508.
LEONARDI L, et al. Predictive factors of mortality in damage control surgery for abdominal trauma. Revista do Colégio Brasileiro de Cirurgiões, 2022; 49: e20223390
MANZANO-NUNEZ R, et al. The tenets of intrathoracic packing during damage control thoracic surgery for trauma patients: a systematic review. European Journal Of Trauma And Emergency Surgery, 2021; 47(2): 423-434.
MARTÍNEZ-RONDANELLI A, et al. Damage Control in Orthopedics and Traumatology. Colombia Médica, 2021; 52(2): e4184802.
MUTHUKUMAR V, et al. Concept of Lethal Triad in Critical Care of Severe Burn Injury. Indian Journal of Critical Care Medicine, 2019; 23(5); 206-209.
PACHECO LD, et al. Damage-control surgery for obstetric hemorrhage. Obstetrics & Gynecology, 2018; 132(2):423-427.
PEREIRA FC, et al. Cirurgia de controle de danos: embasamento teórico e implicações práticas. Revista Científica Multidisciplinar Núcleo do Conhecimento, 2021; 6(1): 53-73.
PÉREZ CAP, et al. Integral management of reanimation in the patient with critical bleeding: reanimation of damage control. Medicina Crítica (Colégio Mexicano de Medicina Crítica), 2021; 35(4): 200-205.
PIMENTEL SK, et al. Damage control surgery: are we losing control over indications?. Revista do Colégio Brasileiro de Cirurgiões, 2018; 45(1): e1474.
ROBERTS DJ, et. al. Accuracy of Published Indications for Predicting Use of Damage Control During Laparotomy for Trauma. Journal Of Surgical Research, 2020; 248: 45-55.
ROBERTS DJ, et al. Evidence for use of damage control surgery and damage control interventions in civilian trauma patients: a systematic review. World Journal Of Emergency Surgery, 2021; 16 (1): 10.
SILVA JÚNIOR WT, et al. Cirurgia de controle de danos no trauma abdominal: Técnicas cirúrgicas, indicações e seus impactos. A Assistência à Saúde na Contemporaneidade. Editora Científica Digital, 2022; 1: 114-122.
TON L, et. al. Vantagens da cirurgia do controle de danos comparada aos métodos tradicionais de abordagem ao paciente politraumatizado. Revista Eletrônica Acervo Científico, 2020; 16: e5570.
TURCULET CS, et al. Polytrauma: The European Paradigm. Chirurgia (Bucharest, Romania : 1990), 2021; 116(6): 664-668.
VOLPIN G, et. al. Damage control orthopaedics in polytraumatized patients- current concepts. Journal Of Clinical Orthopaedics And Trauma, 2021; 12(1): 72-82.
WILSON A, et al. Effective Management of Femur Fracture Using Damage Control Orthopedics Following Fat Embolism Syndrome. Cureus, 2020; 12(3): e7455.
WRAY JP, et al. The diamond of death: Hypocalcemia in trauma and resuscitation. American Journal of Emergency Medicine, 2021; 41:104-109.