Damage control surgery in the light of a new paradigm: Damage control resuscitation

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dc.contributor.authorİnan, Mustafa
dc.date.accessioned2021-11-20T10:04:13Z
dc.date.available2021-11-20T10:04:13Z
dc.date.issued2012
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Çocuk Cerrahisi Anabilim Dalıen_US
dc.description.abstractEach year, 6 million people worldwide lose their lives due to serious injuries associated with major traumas. The most common cause of death among trauma patients is uncontrolled hemorrhage and associated coagulopahty. It is believed that 20 per cent of these individuals can be saved1. Damage control surgery is a life-saving treatment modality that emerged by mid-20th century and undergone various changes so far1-3. The damage control surgery consists of 5 steps. Initially, the patient triage must be performed properly. The second step takes place in the theatre. This first attempt must be completed within one hour at most. The temperature in the operation room must be at 26°C. All intravenous fluids should be warm. In this step, the aim would be to control hemorrhage, limit contamination and quickly re-close the surgical incision. During this instance, it is not recommended to execute definitive operation procedures for vessels, intestines or the liver. This means, it is not advisable to perform arterial grafting, vascular anastomosis or intestinal anastomosis. The abdomen must be cleaned, the vessels must be temporarily stitched, tied or pressured using balloon or tamp or shunting should be employed. Intestinal injuries should be temporarily bound and liver should be packed using pads. The abdomen must be closed as quickly and simply as possible. The third phase takes place in intensive care unit. Hypovolemia, acidbase equilibrium issues and coagulation should be tacked to stabilize the patient. The fourth phase entails definitive surgery. The fifth phase is the final step where the reconstruction and rehabilitation is conducted for all issues emerging during other phases2. From past to present, the treatment approach for trauma patient includes protocolized resuscitation, followed by application of damage control surgery and finalized by taking patient into intensive care unit. Stabilizing patients in the intensive care unit, the treatment continues with gradual operations. In fact, it is now recommended to implement damage control resuscitation and damage control surgery in conjunction with each other. According to this recent paradigm, the physician should act in consideration of the patient's physiological state, instead of managing the treatment by following pre-defined protocols. The patient's physiological state must be closely observed through real-time monitoring and the treatment plan must be designed in accordance. In short, damage control surgery and damage control resuscitation must be construed as a single concept2. The principle aim of this approach is to return the patient's body heat to optimal levels, to remedy circulatory issues and to prevent coagulopahty. In this way, patient's life will be saved from the vicious cycle or lethal triad (hypothermia, acidosis and coagulopathy). It is reported that majority of patients that receive this manner of treatment do not require further operation. In this way, even if the problems persist despite all treatment approaches, the surgical treatment applied to the patient will be more effective1-3. In this issue of our journal, we are introducing one of the recently published, significant books on wartime surgery, War Surgery: Field Manual. This book review that you can find in the following pages of our journal presents philosophical changes in the approach to trauma patients, as we expressed above. It is apparent that we are going through a period of fundamental changes in the surgical mentality, similar to the periods following the first and second world wars. Furthermore, some authors even go far as to believe that we are at the beginning of the end for damage control surgery that came under intense discussions during 70s and became popular during 80s3. Now, it is obvious that damage control resuscitation, integrated into damage control surgery, will be subject to further discussion. Hemostatic resuscitation is strongly highlighted both in civilian and military manuscripts and books. It should not be ignored the issues associated with coagulopahty becomes prominent in the treatment of traumatic patients and, unusual results may end up using artificial blood and blood products.en_US
dc.identifier.doi10.5152/balkanmedj.2012.048en_US
dc.identifier.endpage117en_US
dc.identifier.issn2146-3123
dc.identifier.issn2146-3131
dc.identifier.issue2en_US
dc.identifier.pmid25206978en_US
dc.identifier.scopus2-s2.0-84863100614en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage117en_US
dc.identifier.trdizinid143205en_US
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TVRRek1qQTFOUT09
dc.identifier.urihttps://hdl.handle.net/20.500.14551/5440
dc.identifier.volume29en_US
dc.identifier.wosWOS:000315504700001en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakTR-Dizinen_US
dc.indekslendigikaynakPubMeden_US
dc.institutionauthorİnan, Mustafa
dc.language.isoenen_US
dc.relation.ispartofBalkan Medical Journalen_US
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.snmz20240608_ID_Qen_US
dc.subjectCerrahien_US
dc.titleDamage control surgery in the light of a new paradigm: Damage control resuscitationen_US
dc.typeEditorialen_US

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