Reinterventions after damage control surgery

Abstract Damage control has well-defined steps. However, there are still controversies regarding whom, when, and how re-interventions should be performed. This article summarizes the Trauma and Emergency Surgery Group (CTE) Cali-Colombia recommendations about the specific situations concerning second interventions of patients undergoing damage control surgery. We suggest packing as the preferred bleeding control strategy, followed by unpacking within the next 48-72 hours. In addition, a deferred anastomosis is recommended for correction of intestinal lesions, and patients treated with vascular shunts should be re-intervened within 24 hours for definitive management. Furthermore, abdominal or thoracic wall closure should be attempted within eight days. These strategies aim to decrease complications, morbidity, and mortality.

[1]  R. Ivatury,et al.  Damage control in penetrating duodenal trauma: less is better , 2021, Colombia medica.

[2]  R. Ivatury,et al.  Damage control surgical management of combined small and large bowel injuries in penetrating trauma: Are ostomies still pertinent? , 2021, Colombia medica.

[3]  K. Jung,et al.  Early re-laparotomy for patients with high-grade liver injury after damage-control surgery and perihepatic packing , 2020, Surgery Today.

[4]  J. Puyana,et al.  The tenets of intrathoracic packing during damage control thoracic surgery for trauma patients: a systematic review , 2020, European Journal of Trauma and Emergency Surgery.

[5]  Sangki Oak,et al.  A review of transfusion- and trauma-induced hypocalcemia. Is it time to change the lethal triad to the lethal diamond? , 2019, The journal of trauma and acute care surgery.

[6]  J. Puyana,et al.  A clinical series of packing the wound tract for arresting traumatic hemorrhage from injuries of the lung parenchyma as a feasible damage control technique , 2019, World Journal of Emergency Surgery.

[7]  S. H. Damous,et al.  Prevention of Fascial Dehiscence with Onlay Prophylactic Mesh in Emergency Laparotomy: A Randomized Clinical Trial. , 2019, Journal of the American College of Surgeons.

[8]  D. S. Morris,et al.  Management of penetrating intraperitoneal colon injuries: A meta-analysis and practice management guideline from the Eastern Association for the Surgery of Trauma. , 2019, The journal of trauma and acute care surgery.

[9]  Joseph M. Galante,et al.  The open abdomen in trauma and non-trauma patients: WSES guidelines , 2018, World Journal of Emergency Surgery.

[10]  Brian C. Beldowicz.  The Evolution of Damage Control in Concept and Practice , 2017, Clinics in Colon and Rectal Surgery.

[11]  A. Peitzman,et al.  Pelvic trauma: WSES classification and guidelines , 2017, World Journal of Emergency Surgery.

[12]  Laura B Petrey,et al.  Traumatic colon injury in damage control laparotomy - A multicenter trial: Is it safe to do a delayed anastomosis? , 2017, The journal of trauma and acute care surgery.

[13]  Dina M. Filiberto,et al.  Preperitoneal pelvic packing: Technique and outcomes. , 2016, International journal of surgery.

[14]  D. Zygun,et al.  Indications for Use of Damage Control Surgery in Civilian Trauma Patients: A Content Analysis and Expert Appropriateness Rating Study , 2016, Annals of surgery.

[15]  Jeremy W. Cannon,et al.  Multicenter evaluation of temporary intravascular shunt use in vascular trauma , 2016, The journal of trauma and acute care surgery.

[16]  J. Puyana,et al.  Complex penetrating duodenal injuries: Less is better , 2014, The journal of trauma and acute care surgery.

[17]  R. Lavery,et al.  Management of colonic injuries in the setting of damage-control laparotomy: One shot to get it right , 2014, The journal of trauma and acute care surgery.

[18]  R. Coimbra,et al.  Abdominal damage control surgery and reconstruction: world society of emergency surgery position paper , 2013, World Journal of Emergency Surgery.

[19]  N. Harunari,et al.  Gauze packing as damage control for uncontrollable haemorrhage in severe thoracic trauma , 2013, Annals of the Royal College of Surgeons of England.

[20]  A. Peitzman,et al.  The 1–2–3 Approach to Abdominal Packing , 2012, World Journal of Surgery.

[21]  D. Feliciano,et al.  Tourniquets, vascular shunts, and endovascular technologies: esoteric or essential? A report from the 2011 AAST Military Liaison Panel. , 2012, The journal of trauma and acute care surgery.

[22]  J. Puyana,et al.  Safety of performing a delayed anastomosis during damage control laparotomy in patients with destructive colon injuries. , 2011, The Journal of trauma.

[23]  W. Ding,et al.  Time course study on the use of temporary intravascular shunts as a damage control adjunct in a superior mesenteric artery injury model. , 2010, The Journal of trauma.

[24]  Richard L. George,et al.  Management of colon wounds in the setting of damage control laparotomy: a cautionary tale. , 2009, The Journal of trauma.

[25]  A. Çoker,et al.  Is it more dangerous to perform inadequate packing? , 2008, World journal of emergency surgery : WJES.

[26]  J. Meredith,et al.  Colonic Resection in the Setting of Damage Control Laparotomy: Is Delayed Anastomosis Safe? , 2007, The American surgeon.

[27]  R. Ivatury,et al.  Management of open abdomen. , 2007, Acta clinica Belgica.

[28]  M. Hommes,et al.  Packing for Control of Hemorrhage in Major Liver Trauma , 2007, World Journal of Surgery.

[29]  M. Keel,et al.  Pathophysiology of polytrauma. , 2005, Injury.

[30]  A. May,et al.  Complications after 344 damage-control open celiotomies. , 2004, The Journal of trauma.

[31]  T. Fabian,et al.  Current issues in trauma. , 2002, Current problems in surgery.

[32]  D. Spain,et al.  Penetrating colon injuries requiring resection: diversion or primary anastomosis? An AAST prospective multicenter study. , 2001, The Journal of trauma.

[33]  H. Takita,et al.  Thoracic packing for postoperative hemorrhage. , 1997, The Journal of cardiovascular surgery.

[34]  A. Hirshberg,et al.  Planned Reoperation for Severe Trauma , 1995, Annals of surgery.

[35]  A. Hirshberg,et al.  Planned reoperation for trauma: a two year experience with 124 consecutive patients. , 1994, The Journal of trauma.

[36]  M. Rotondo,et al.  'Damage control': an approach for improved survival in exsanguinating penetrating abdominal injury. , 1992, The Journal of trauma.

[37]  J. Magovern,et al.  Prolonged open sternotomy and delayed sternal closure after cardiac operations. , 1992, The Annals of thoracic surgery.

[38]  H H Stone,et al.  Management of the Major Coagulopathy with Onset during Laparotomy , 1983, Annals of surgery.

[39]  Á. Péterffy,et al.  Haemorrhagic complications during pulmonary resection. A retrospective review of 1428 resections with 113 haemorrhagic episodes. , 1983, Scandinavian journal of thoracic and cardiovascular surgery.