title: Extending the horizons of "damage control" in unstable trauma patients beyond the abdomen and gastrointestinal tract.
abstract: "Damage control" has become an accepted technique for the treatment of patients with exsanguinating injuries to the abdomen. We describe a case where the damage control philosophy was applied outside the confines of the abdominal cavity, a gunshot wound to the groin, and in which a temporary intraluminal shunt was used to maintain distal perfusion while the acidosis and coagulopathy were corrected in the intensive care unit. Successful vascular reconstruction was later completed with polytetrafluoroethylene.
authors.affiliation: Lincoln Medical & Mental Health Center, Bronx, New York 10451, USA.
authors.forename: J M
authors.initials: JM
authors.lastname: Porter
authors.forename: R R
authors.initials: RR
authors.lastname: Ivatury
authors.forename: Z E
authors.initials: ZE
authors.lastname: Nassoura
mesh_terms: D000328:Adult; D001807:Blood Vessel Prosthesis; D005263:Femoral Artery / Q000293:injuries* / Q000601:surgery; D005268:Femoral Vein / Q000293:injuries* / Q000601:surgery; D006801:Humans; D008297:Male; D009104:Multiple Trauma / Q000601:surgery / Q000628:therapy*; D011138:Polytetrafluoroethylene; D014948:Wounds, Gunshot / Q000150:complications* / Q000601:surgery
chemical_list: D011138:Polytetrafluoroethylene