Damage control surgery in thoracic trauma

Authors: F. Vyhnánek
Authors‘ workplace: Traumatologické centrum FN Královské Vinohrady Praha vedoucí lékař: doc. MUDr. F. Vyhnánek, CSc.
Published in: Rozhl. Chir., 2017, roč. 96, č. 11, s. 449-452.
Category: Review


Damage control surgery (DCS) is an integral part of management in critically injured patients. These usually involve patients with profound hemorrhagic shock with the development of acidosis, hypothermia and coagulopathy. Three stages of DCS are widely accepted: 1) Limited operation to control bleeding and contamination. 2) Continued resuscitation in intensive care unit. 3) Reoperation. Besides DCS in intraabdominal trauma, DCS techniques are currently employed also in thoracic injuries. DCS techniques in heart, lung, internal thoracic vessel and esophagus injuries are presented.

Key words:
damage control surgery − thoracic trauma


1. Mackowski MJ, Barnett RE, Harbrecht BG, et al. Damage control for thoracic trauma. Am Surg 2014;80:910−3.

2. Wyrzykowski AD, Feliciano DV. Trauma damage control. In: V Mattox KL, Moore EE, Feliciano DV. Trauma. McGraw Hill 2013:725−46.

3. Garcia A, Martinez J, Rodriguez J, et al. Damage control techniques in the management of severe lung trauma. J Trauma Acute Care Surg 2015;78:45−51.

4. Goncalves R, Saad R. Thoracic damage control surgery. Rev Col Bras Cir 2016;43:374−81.

5. Moriwaki Y, Toyoda H, Harunari N, et al. Gauze packing as damage control for uncontrollable haemorrhage in severe thoraci trauma. Ann R Coll Surg Engl 2013;95:20−5.

6. Seamon MJ, Haut ER, Van Arendonk K, et al. An evidence-based approach to patient selectino for emergency department thoracotomy: A practice management guideline from th Easter Association for the Surgery of Trauma. J Trauma Acute Care Surg 2015;79:159−74.

7. Khorsandi M, Skouras Ch, Shah R. Is there any role for resuscitative emergeny department thoracotomy in blunt trauma? Interactive Cardio Vascular and Thoracic Surgery 2013;16:509−16.

8. Burlew CC, Moore EE. Emergency department thoracotomy. In: Mattox KL, Moore EE, Feliciano DV. Trauma. Mc Graw Hill Medical 2013:236−50.

9. Narvestad JK, Meskinfamfard M, Soreide K. Emergency resuscitative thoracotomy performed in European civilian trauma patiens with blunt or penetrating injuries: a systematic review. Eur J Trauma Emerg Surg 2916;42:677−85.

10. Demetriades D, Gelbard R. General principles of chest trauma operations. In: Demetriades D, Inaba K, Velmahos G. Atlas of surgical techniques in trauma. Cambridge University Press 2015:104−15.

11. Vodička J. Damage control surgery při poranění hrudníku. In: Vodička J a kol. Traumatologie hrudníku. Praha, Galén 2015:83−5.

12. Yilmaz TH, Degiannis E, Doll D. Temporary treatment of uncontroled intrathoracic hemorrhaging with abdominal towels in combination with a rescue procedure. Damage control procedure of the chest. Unfallchirurg 2012;115:71−4.

Surgery Orthopaedics Trauma surgery
Forgotten password

Don‘t have an account?  Create new account

Forgotten password

Enter the email address that you registered with. We will send you instructions on how to set a new password.


Don‘t have an account?  Create new account