title: Damage control laparotomy for exsanguinating penetrating abdominal trauma.
abstract: Damage control, defined as initial control of haemorrhage and contamination with intra-peritoneal packing and rapid closure, allows the resuscitation to normal physiology in the intensive care unit and subsequent definitive re-exploration. A case of penetrating abdominal trauma with extensive hepatic, interior vena cava and pancreatico-duodenal injuries, was managed on the principles of damage control on the first laparotomy and definitive procedure of pancreaticoduodenectomy was delayed and performed after 48 hours.
authors.affiliation: Department of General Surgery, Combined Military Hospital, Kharian.
authors.forename: Vaqar
authors.initials: V
authors.lastname: Bari
authors.forename: Eitezaz Ahmad
authors.initials: EA
authors.lastname: Bashir
authors.forename: Badar
authors.initials: B
authors.lastname: Murtaza
authors.forename: Muhammad Misbah
authors.initials: MM
authors.lastname: Rashid
authors.forename: Zahid
authors.initials: Z
authors.lastname: Hussain
mesh_terms: D000007:Abdominal Injuries / Q000601:surgery*; D002648:Child; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D008099:Liver / Q000293:injuries; D008297:Male; D009104:Multiple Trauma / Q000601:surgery*; D016577:Pancreaticoduodenectomy; D014682:Vena Cava, Inferior / Q000601:surgery; D014948:Wounds, Gunshot / Q000601:surgery*