Damage Control Orthopedic Surgery.
AJTES Vol 2, No 1,  January 2018.
PDF Full Text

Keywords

damage control surgery
hemorrhage
acidosis
coagulopathy
resuscitation

How to Cite

Selmani, E., Brahimi, F., & Duraj, L. (2018). Damage Control Orthopedic Surgery. Albanian Journal of Trauma and Emergency Surgery, 2(1), 9-11. https://doi.org/10.32391/ajtes.v2i1.41

Abstract

The concept of damage control surgery was first described for the purpose of treating medically un-stable patients with abdominal trauma. The purpose of such surgery is rapid control of hemorrhage and contamination, not definitive repair of injuries. The goal is to improve survival of patients with the potentially lethal triad of hypothermia, acidosis and coagulopathy. Definitive repair of injuries and abdominal closure are not performed at the time of initial laparotomy. Rather, the abdominal wound is left open, a dressing is placed, and the patient is transported to the intensive care unit for continued re-suscitation. This includes optimization of hemodynamic condition, respiratory support, warming, and correction of coagulopathy. Following successful resuscitation, when the patient is medically stable, a return to the operating room is scheduled for repair of injuries and abdominal closure.

https://doi.org/10.32391/ajtes.v2i1.41
PDF Full Text

References

Dunham CM, Bosse MJ, Clancy TV, et al: Practice management guidelines for the optimal timing of long bone fracture stabilization in polytrauma patients: The EAST practice management guidelines workgroup. Journal of Trauma, 2001; 50: 958-967

Nowotarski PJ, Turen CH, Brumback RJ, Scarboro JM: Conversion of external fixation to intramedullary nailing for fractures of the shaft of the femur in multiply injured patients. JBJS Am 2000; 82: 781-788.

Pape HC, Hildebrand F, Pertschy S et al: Changes in the management of femoral shaft fractures in polytrauma patients: From early total care to damage control orthopedics surgery. Journal of Trauma 2002; 53: 452-462.

Pape HC, Grimme K, van Griensven M et al: Impact of intramedullary instrumentation versus damage control for femoral fractures on immunoinflammatory parameters: Prospective randomized analysis by the EPOFF Study Group. Journal of Trauma 2003; 55:7-13.

Meek RN: The John Border Memorial Lecture: Delaying emergency fracture surgery: Fact or fad. Journal of Orthop. Trauma 2006; 20: 337-340.

Harwood PJ, Giannoudis PV, van Griensven M et al: Alterations in the systematic inflammatory response after early total care and damage control procedures for femoral shaft fractures in severely injured patients. Journal of Trauma 2005; 58: 446-454.

Harwood PJ, Giannoudis PV, Probst C, et al: The risk of local infective complications after damage control procedures for femoral shaft fractures. Journal of Orthop. Trauma 2006; 20:181-189.

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.