Abstract

Damage control surgery strategy (DCS) rested on rapid control of bleeding, containing abdominal contamination, resuscitating patient and performing definitive surgery on stabilized injured patient. Initially described and evolved in liver trauma surgery, the DCS implementation has resulted in improving the critically injured patient survival leading to its widespread use in intra and extraabdominal trauma and acute abdominal emergencies. Currently, the DCS strategy has become the standard practice for severely injured patients. However, the evolution of the DCS research has led to the development of the concept of damage control resuscitation (DCR) which includes early and massive blood transfusion, fluid restriction and permissive hypotension. The DCS and DCR form conjointly the modern trauma care for critically injured patients

Keywords: Damage Control Surgery; Damage Control Resuscitation; Permissive Hypotension; Outcomes

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