Mini Review
Volume 4 Issue 12 - 2020
Modern Trauma Care: Damage Control Surgery and Damage Control Resuscitation-Brief Report
Abdelkader Boukerrouche*
Department of Digestive Surgery, Hospital of Beni-Messous, University of Algiers, Algiers, Algeria
*Corresponding Author: Abdelkader Boukerrouche, Department of Digestive Surgery, Hospital of Beni-Messous, University of Algiers, Algiers, Algeria.
Received: December 16, 2019; Published: November 28, 2020


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


  1. Kauvar DS., et al. “Impact of hemorrhage on trauma outcome: an overview of epidemiology, clinical presentations, and therapeutic considerations”. Journal of Trauma and Acute Care Surgery 60.6 (2006): S3-S11.
  2. Kauvar DS., et al. “Impact of hemorrhage on trauma outcome: an overview of epidemiology, clinical presentations, and therapeutic considerations”. Journal of Trauma and Acute Care Surgery 60.6 (2006): S3-S11.
  3. Mikhali J. “The trauma triad of death: hypothermia, acidosis and coagulopathy”. ACCN Clinical Issues 10.6 (1999): 85-94.
  4. Chovanes J., et al. “The evolution of damage control surgery”. Surgical Clinics of North America 92 (2012): 859-875.
  5. Moore EE and Thomas G. “Orr Memorial Lecture. Staged laparotomy for the hypothermia, acidosis, and coagulopathy syndrome”. The American Journal of Surgery 172 (1996): 405-410.
  6. Mikhali J. “The trauma triad of death: hypothermia, acidosis and coagulopathy”. ACCN Clinical Issues 10.6 (1999): 85-94.
  7. Rotondo MF., et al. “’Damage control’: an approach for improved survival in exsanguinating penetrating abdominal injury”. The Journal of Trauma and Acute Care Surgery 35 (1993): 375-382.
  8. Feliciano DV., et al. “Intra-abdominal packing for control of hepatic hemorrhage: a reappraisal”. The Journal of Trauma and Acute Care Surgery 21 (1981): 285-290.
  9. Svoboda JA., et al. “Severe liver trauma in the face of coagulopathy. A case for temporary packing and early reexploration”. The American Journal of Surgery 144 (1982): 717-721.
  10. Cue JI., et al. “Packing and planned reexploration for hepatic and retroperitoneal hemorrhage: critical refinements of a useful technique”. The Journal of Trauma and Acute Care Surgery 30 (1990): 1007-1011.
  11. Burch JM., et al. “Abbreviated laparotomy and planned reoperation for critically injured patients”. Annals of Surgery 215 (1992): 476-483.
  12. Morris JA Jr., et al. “The staged celiotomy for trauma. Issues in unpacking and reconstruction”. Annals of Surgery 217 (1993): 576-584.
  13. Stone HH., et al. “Management of the major coagulopathy with onset during laparotomy”. Annals of Surgery 197 (1983): 532-535. 
  14. Balogh ZJ., et al. “Postinjury abdominal compartment syndrome: from recognition to prevention”. Lancet 384 (2014): 1466-1475.
  15. Roberts DJ., et al. “Indications for use of damage control surgery and damage control interventions in civilian trauma patients: a scoping review”. The Journal of Trauma and Acute Care Surgery Acute Care Surgery 78 (2015): 1187-1196.
  16. Watson JJ., et al. “Damage control laparotomy utilization rates are highly variable among level I trauma centers: pragmatic, randomized optimal platelet and plasma ratios findings”. The Journal of Trauma and Acute Care Surgery Acute Care Surgery 82 (2017): 481-488.
  17. Waibel BH and Rotondo MF. “Damage control for intra-abdominal sepsis”. Surgical Clinics of North America 92 (2012): 243-257.
  18. Weber DG., et al. “Damage control surgery for abdominal emergencies”. British Journal of Surgery 101 (2014): e109-e118.
  19. Morgan K., et al. “Not just for trauma patients: damage control laparotomy in pancreatic surgery”. Journal of Gastrointestinal Surgery 14 (2010): 768Y772.
  20. Holcomb JB., et al. “Damage control resuscitation: directly addressing the early coagulopathy of trauma”. The Journal of Trauma and Acute Care Surgery 62 (2007): 307-310.
  21. Kaafarani HM and Velmahos GC. “Damage control resuscitation in trauma”. Scandinavian Journal of Surgery 103 (2014): 81-88.
  22. Rajasekhar A., et al. “Survival of trauma patients after massive red blood cell transfusion using a high or low red blood cell to plasma transfusion ratio”. Critical Care Medicine 39 (2011): 1507-1513.
  23. Mizobata Y. “Damage control resuscitation: a practical approach for severely hemorrhagic patients and its effects on trauma surgery”. Journal of Intensive Care Medicine 5 (2017): 4.
  24. Duchesne JC., et al. “Damage control resuscitation in combination with damage control laparotomy: a survival advantage”. The Journal of Trauma and Acute Care Surgery 69 (2010): 46-52.
  25. Cotton BA., et al. “Damage control resuscitation is associated with a reduction in resuscitation volumes and improvement in survival in 390 damage control laparotomy patients”. Annals of Surgery 254 (2011): 598-605.
  26. Higa G., et al. “Damage control laparotomy: a vital tool once overused”. The Journal of Trauma and Acute Care Surgery 69 (2010): 53-59.
  27. Bradley M., et al. “Damage control resuscitation protocol and the management of open abdomens in trauma patients”. The American Journal of Surgery 80 (2014): 768-775 .
  28. Shrestha B., et al. “Damage-control resuscitation increases successful nonoperative management rates and survival after severe blunt liver injury”. The Journal of Trauma and Acute Care Surgery Acute Care Surgery 78 (2015): 336-341.
  29. Jansen JO., et al. “Damage control resuscitation for patients with major trauma”. BMJ 338 (2009): b1778.
  30. Morrison CA., et al. “Hypotensive resuscitation strategy reduces transfusion requirements and severe postoperative coagulopathy in trauma patients with hemorrhagic shock: preliminary results of a randomized controlled trial”. The Journal of Trauma and Acute Care Surgery 70 (2011): 652-663.
  31. Chatrath V., et al. “Fluid management in patients with trauma: restrictive versus liberal approach”. Journal of Anaesthesiology Clinical Pharmacology 31 (2015): 308-316.
  32. Carrick MM., et al. “Intraoperative hypotensive resuscitation for patients undergoing laparotomy or thoracotomy for trauma: early termination of a randomized prospective clinical trial”. The Journal of Trauma and Acute Care Surgery 80 (2016): 6.
  33. Schreiber MA., et al. “A controlled resuscitation strategy is feasible and safe in hypotensive trauma patients: results of a prospective randomized pilot trial”. The Journal of Trauma and Acute Care Surgery 78 (2015): 4.
  34. Natthida Owattanapanich., et al. “Risks and benefits of hypotensive resuscitation in patients with traumatic hemorrhagic shock: a meta-analysis”. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine 26 (2018): 107.
Citation: Abdelkader Boukerrouche., et al. “Modern Trauma Care: Damage Control Surgery and Damage Control Resuscitation-Brief Report”. EC Emergency Medicine and Critical Care 4.12 (2020): 01-04.

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