Revista Científica de la Sociedad Española de Medicina de Urgencias y Emergencias
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Impact factor 2022
5.5
1er cuartil (4 de 32)
Emergency Medicine
Resumen
Review Article
219-24
24
3
June
2012
219
224
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Damage control surgery
Márquez Rojas J, Blanco Fernández L, López Guerra D
Servicio de CirugÃa General y del Aparato Digestivo, Hospital San Pedro de Alcántara, Cáceres, Spain. Servicio de CirugÃa General y del Aparato Digestivo, Hospital Infanta Cristina, Badajoz, Spain.
Damage control surgery (DCS) seeks to improve outcome in critical trauma patients with
abdominal injuries and diminished physiological reserve. DCS is a staged approach to
surgery that starts with a rapid intervention to control bleeding and contamination; this
step is followed by a period of reanimation and eventually the definitive repair of lesions.
Fast decision-making and selection of candidates, whether they have multiple injuries or
not, are fundamental in DCS. We review the indications, stages, and surgical procedures
to follow in DCS. We also discuss prognostic factors.
abdominal injuries and diminished physiological reserve. DCS is a staged approach to
surgery that starts with a rapid intervention to control bleeding and contamination; this
step is followed by a period of reanimation and eventually the definitive repair of lesions.
Fast decision-making and selection of candidates, whether they have multiple injuries or
not, are fundamental in DCS. We review the indications, stages, and surgical procedures
to follow in DCS. We also discuss prognostic factors.
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