Evolution of damage control surgery in non-traumatic abdominal pathology: a light in the darkness.

Pub Date : 2021-06-30 eCollection Date: 2021-04-01 DOI:10.25100/cm.v52i2.4809

Carlos A Ordoñez, Yaset Caicedo, Michael W Parra, Fernando Rodríguez-Holguín, José Julián Serna, Alexander Salcedo, María Josefa Franco, Luis Eduardo Toro, Luis Fernando Pino, Mónica Guzmán-Rodríguez, Claudia Orlas, Juan Pablo Herrera-Escobar, Adolfo González-Hadad, Mario Alain Herrera, Gonzalo Aristizábal, Alberto García

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引用次数: 1

Abstract

Damage control surgery is based on temporal control of the injury, physiologic recovery and posterior deferred definitive management. This strategy began in the 1980s and became a formal concept in 1993. It has proven to be a strategy that reduces mortality in severely injured trauma patients. Nevertheless, the concept of damage control in non-traumatic abdominal pathology remains controversial. This article aims to gather historical experiences in damage control surgery performed in non-traumatic abdominal emergency pathology patients and present a novel management algorithm. This strategy could be a surgical option to treat hemodynamically unstable patients in catastrophic scenarios such as hemorrhagic and septic shock caused by peritonitis, pancreatitis, acute mesenteric ischemia, among others. Therefore, damage control surgery is light amid better short- and long-term results.

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非创伤性腹部病理损伤控制手术的发展:黑暗中的一盏灯。

损伤控制手术的基础是损伤的时间控制、生理恢复和后路延迟的最终治疗。这一战略始于20世纪80年代，并于1993年成为正式概念。事实证明，这是一种降低严重创伤患者死亡率的策略。然而，非创伤性腹部病理损伤控制的概念仍然存在争议。本文旨在收集非创伤性腹部急诊病理患者的损伤控制手术的历史经验，并提出一种新的管理算法。这种策略可以作为一种手术选择，用于治疗由腹膜炎、胰腺炎、急性肠系膜缺血等引起的出血性休克和脓毒性休克等灾难性情况下的血流动力学不稳定患者。因此，在短期和长期效果较好的情况下，损伤控制手术是轻量级的。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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