Advances in prehospital care and trauma resuscitation have enabled the early survival of
many injured patients who previously had a high chance of dying at the accident scene or …

Damage control laparotomy was first described by Dr. Harlan Stone in 1983 when he
suggested that patients with severe trauma should have their primary procedures …

Traditional laparotomy for trauma consists of a priority-driven sequence of steps that
includes access, exposure, hemostasis, and finally resection and reconstruction. The …

During the last two decades, numerous factors have resulted in the arrival of more severely
injured patients. First, advances in prehospital care and the adoption of the “scoop and run” …

Background Damage control surgery is a management sequence initiated to reduce the risk
of death in severely injured patients presenting with physiological derangement. Damage …

The philosophy of damage control surgery has developed tremendously over the past 10
years. It has expanded outside the original boundaries of the abdomen and has been …

Over the past 20 years, it has gradually become apparent that the results of prolonged and
extensive surgical procedures performed on critically injured patients are often poor, even in …

Objective Damage control (DC) has proven valuable in exsanguinated patients. The
purpose of this study was to quantify and qualify the impact of current damage control …

Formalized only 20 years ago, damage control was developed in response to the poor
outcomes associated with truncal injury with uncontrolled hemorrhage. The need for altering …

Definitive laparotomy (DL) for penetrating abdominal wounding with combined vascular and
visceral injury is a difficult surgical challenge. Physiologic derangements such as dilutional …