The damage control sequence and underlying logic

Surg Clin North Am. 1997 Aug;77(4):761-77. doi: 10.1016/s0039-6109(05)70582-x.


With the growing understanding of the pathophysiology of exsanguination has come the evolution of extraordinary surgical techniques designed to improve survival. As the success of damage control has grown, so has its acceptance in the traditional surgical community. Our challenge now is to scientifically define patient selection, refine intraoperative techniques, and acquire a greater clinical and basic science understanding of the physiology of exsanguination and reperfusion injury in resuscitation. In these efforts, overall survival should continue to increase and morbidity should continue to decrease.

Publication types

  • Review

MeSH terms

  • Acidosis / etiology
  • Acidosis / therapy
  • Blood Coagulation Disorders / etiology
  • Blood Coagulation Disorders / therapy
  • Humans
  • Hypothermia / etiology
  • Hypothermia / therapy
  • Laparotomy / methods
  • Resuscitation / methods*
  • Resuscitation / standards
  • Survival Rate
  • Wounds and Injuries / complications
  • Wounds and Injuries / mortality
  • Wounds and Injuries / therapy*