Key result
Damage control surgery reduces mortality in critically ill trauma patients but is associated with high postoperative morbidity and significant psychological impact on medical teams.
Why the study?
Although damage control surgery reduces mortality in critically ill patients, morbidity among survivors remains high, necessitating well-established indications and holistic assessment.
Damage control surgery requires careful patient selection due to high post-procedural morbidity and carries significant psychological and ethical implications for the medical team.
Supports cautious selection in trauma amid high morbidity; leaves open prospective trials on team support protocols.
Introduction: Despite the fact that damage control surgery (DCS) is generally accepted to reduce the mortality rate in critically ill patients, morbidity among survivors is still high, which is why it is essential to note that indications must be well established before implementation. The purpose of this paper is to raise awareness of the need for a holistic assessment of the status of the patient and the medical team involved in the Damage Control Surgery process. Material and method: Observational and retrospective studies were selected using the PubMed / MEDLINE database published between 2000-2021, and the keywords used to identify relevant articles were damage control surgery, military medicine, psychological. consequences, trauma. Conclusions: The concept of DCS needs to be used in well-evaluated conditions and it is important to remember that the psychological impact of medical decisions resonated not only among patients but also with the entire medical team.
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Tiutiucă et al. (2022) conducted a review in Trauma. Damage control surgery vs. Definitive surgery was evaluated on Mortality and morbidity. Damage control surgery reduces mortality in critically ill trauma patients but is associated with high postoperative morbidity and significant psychological impact on medical teams.
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