Table 1 Examples of damage control interventions/adjuncts
Interventions or adjuncts | Procedure | Examples |
|---|---|---|
Interventions | Thoracic | Therapeutic mediastinal and/or pleural space packing[6]; rapid lung-sparing surgery (pulmonary tractotomy, peripheral wedge resection, or pneumonorraphy)[7]; pulmonary hilum twisting[6]; and rapid stapled pneumonectomy |
| Â | Abdominal | Perihepatic or diffuse intra-abdominal packing[7]; peripancreatic drainage[7]; resection of a segment of bowel with delayed reanastomosis[7, 8], rapid bowel ligation[31, 41], or other techniques to control gastrointestinal spillage, including the use of skin staplers or allis clamps[6]; temporary abdominal closure techniques (including negative pressure peritoneal therapy or use of the Bogota bag[32]); and intraintestinal drainage |
| Â | Pelvis | Extraperitoneal pelvic packing[7] |
| Â | Vascular | Temporary intravascular shunting[30, 39, 40]; vascular ligation[30]; balloon catheter tamponade[9]; and arterial clamping[53] |
Adjuncts | Interventions that assist in hemostasis | Topical hemostatic agents, including combat gauze or a fibrin patch[6, 49, 50] and modified rapid deployment hemostat bandage[44]; powders containing fibrin, collagen, and/or thrombin[44]; chitosan-based dressings[45]; absorbable mesh wraps/bandages[51, 52]; zeolite powder-based dressings[43]; self-expanding, intracavitary polyurethane polymers[46]; and resuscitative balloon occlusion of the aorta (REBOA)[47]. |