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Rethinking Damage Control Surgery - #112
12/14/2018
Is the era of damage control surgery over? Moderators Dr. Dave Morris and Dr. Carrie Valdez talk with Drs. John Harvin and John Holcomb about the role for DCS in the era of hemostatic resuscitation. Perhaps it is time to shift our paradigm back to definitive surgery as the default plan now that that we are inducing less edema and coagulopathy with huge doses of crystalloid.
Articles/Protocols referenced:
The effect of damage control laparotomy on major abdominal comlications : A matched analysis.
Am J Surg. 2018 Jul;216(1):56-59. doi: 10.1016/j.amjsurg.2017.10.044. Epub 2017 Nov 11.
Decreasing the Use of Damage Control Laparotomy in Trauma: A Quality Improvement Project.
J Am Coll Surg. 2017 Aug;225(2):200-209. doi: 10.1016/j.jamcollsurg.2017.04.010. Epub 2017 Apr 23.