["Damage control surgery" (DCS): just the surgery the patient needs].
Surgery of trauma adds an insult which is proportional to the duration of the operative treatment. The aim of DCS is to prevent the onset of the fatal triad stopping the major bleeder. Treating the contamination, it also makes the Multiple Organ Deficiency Syndrome less likely. DCS requests specific surgical skills. The best results are obtained when an abbreviated surgery is performed in collaboration with the intensive care. The non trauma surgical specialties should be involved in the reconstruction surgery. Courses are dedicated to the decision making and to these specific DCS procedures. They should be more widely implemented in Europe. They could be an asset for centers dealing with major trauma.
Schreyer
Nicolas
N
Service de chirurgie viscérale, Centre interdisciplinaire des urgences, CHUV, 1011 Lausanne. Nicolas.Schreyer@chuv.ch
Allard
Denis
D
D006801:Humans; D009104:Multiple Trauma / Q000601:surgery*; D013514:Surgical Procedures, Operative / Q000379:methods