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Damage control surgery can be divided into the following three phases: Initial laparotomy, Intensive Care Unit (ICU) resuscitation, and definitive reconstruction. Each of these phases has defined timing and objectives to ensure best outcomes. The following goes through the different phases to illustrate, step by step, how one might approach this.
A philosophy of damage control orthopaedics (DCO) was proposed in 2000, [2] aiming to prevent early death in a critically wounded patient via stabilization and not definitive fixation, often with the use of external fixation systems. EAC was developed by Heather Vallier while at MetroHealth in Cleveland. [3]
These ICU transport capabilities allowed trauma surgeons to perform far forward damage control surgery, knowing that these patients could be quickly transported rearward. Combined with other advances in field medical care, what resulted is the lowest died of wounds rate measured in modern times (testimony House Armed Services Committee, 2005 ...
Similar failure processes are involved in brain failure following reversal of cardiac arrest; [3] control of these processes is the subject of ongoing research. Repeated bouts of ischemia and reperfusion injury also are thought to be a factor leading to the formation and failure to heal of chronic wounds such as pressure sores and diabetic foot ...
Damage Control, by David Auburn; Damage Control, a comic book limited series published by Marvel Comics, featuring a fictitious company by the same name United States Department of Damage Control, in Marvel Cinematic Universe media; Damage CTRL, a professional wrestling stable in WWE formerly named Damage Control
Advanced trauma life support (ATLS) is a training program for medical providers in the management of acute trauma cases, developed by the American College of Surgeons. ...
da Vinci patient-side component (left) and surgeon console (right) A surgeon console at the treatment centre of Addenbrooke's Hospital The da Vinci System consists of a surgeon's console that is typically in the same room as the patient, and a patient-side cart with three to four interactive robotic arms (depending on the model) controlled from the console.
Subcutaneous emphysema is a common result of certain types of surgery; for example it is not unusual in chest surgery. [8] It may also occur from surgery around the esophagus, and is particularly likely in prolonged surgery. [7]