[Damage control surgery in multiply traumatised patients].
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.
Penninga
Luit
L
H:S Rigshospitalet, Kirurgisk Gastroenterologisk Afdeling C, København Ø. luitpenninga@hotmail.com
Penninga
Elisabeth Irene
EI
Svendsen
Lars Bo
LB
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