DAMAGE CONTROL SURGERY IN PATIENTS WITH CRUSH INJURY

Abstract

Background: Damage Control Surgery is a quick termination of surgical procedure aims to reduce the mortality rate. In the past damage control surgery only perform in abdominal procedure, now the concept has developed, so can be applied to other procedure. Damage control surgery have 3 phases, abbreviate surgery, intensive care unit resuscitation and definitive surgery.

 Case: A 19-years-old man patient, weighing 45 kg was presented as a case. The patient had work accident at his workplace, his hand trapped in wood machine, and his chest hit a machine. The condition when arrived at hospital show the sign of hypovolemic shock and have a transient respond to resuscitation, so it’s decided to perform damage control surgery.

 Results: In the case that described in the manuscript, the patient showed improvement after the surgery. The bleedings stop and the hemodynamic is stable. Post operative patient admitted to intensive observation room and planned to the next surgery.

 Conclusion: The goal of this study is to emphasize the importance of damage control surgery in the management of critical trauma patients. This explains the stages that involved, including the initial surgery to control bleeding and contamination, the ICU phase focused on stabilizing the patient's condition and the planning for definitive surgery. Additionally, this study also emphasizes the importance of a multidisciplinary approach in optimizing patient outcomes and preventing further harm.