• Rev Col Bras Cir · Mar 2013

    Review

    [Damage control surgery: an update].

    • Rodrigo Camargo Leão Edelmuth, Yuri dos Santos Buscariolli, and Marcelo Augusto Fontenelle Ribeiro.
    • Serviço de Cirurgia Geral do Hospital do Servidor Público Estadual - IAMSPE. rodrigo.edelmuth@me.com
    • Rev Col Bras Cir. 2013 Mar 1; 40 (2): 142-51.

    AbstractThe damage control surgery is a widely accepted concept today among abdominal trauma specialists when it comes to the severely traumatized. In these patients, the death is due, in most cases, to the installation of the lethal triad (hypothermia, coagulopathy and acidosis) and not the inability to repair the serious initial damage. In this review, the authors address the lethal triad in its three phases and emphasize the measures taken to prevent them, as well as discussing the indication and employment of damage control surgery in its various stages. Restoring the physiological status of the patient in the ICU, so that he/she can be submitted to final operation and closure of the abdominal cavity, another challenge in severe trauma patients, is also discussed.

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