title: [Damage control surgery in multiply traumatised patients].
abstract: The results of extensive and prolonged surgical procedures performed in multi trauma patients are often poor. These patients may develop the lethal combination of metabolic acidosis, coagulopathy and hypothermia, which reduces their physiological reserve capacity. The 'damage control surgery' (DCS) approach is known to reduce the mortality rate in multi trauma patients. DCS consists of a short primary operation to control bleeding and prevent contamination. Thereafter, resuscitation is performed in the intensive care unit. Finally, reoperation and definitive repair of lesions are done.
authors.affiliation: H:S Rigshospitalet, Kirurgisk Gastroenterologisk Afdeling C, København Ø. luitpenninga@hotmail.com
authors.forename: Luit
authors.initials: L
authors.lastname: Penninga
authors.forename: Elisabeth Irene
authors.initials: EI
authors.lastname: Penninga
authors.forename: Lars Bo
authors.initials: LB
authors.lastname: Svendsen
mesh_terms: D000007:Abdominal Injuries / Q000175:diagnosis / Q000401:mortality / Q000601:surgery; D003422:Critical Care / Q000379:methods*; D004638:Emergency Treatment / Q000379:methods*; D006801:Humans; D007431:Intraoperative Complications / Q000517:prevention & control; D009104:Multiple Trauma / Q000175:diagnosis / Q000401:mortality / Q000601:surgery*; D018579:Patient Selection; D012086:Reoperation; D012151:Resuscitation