Citation

Rubiano AM, Maldonado M, Montenegro JH, Restrepo CM, Khan AA, Monteiro R, Faleiro RM, Carreño JN, Amorim R, Paiva W, Muñoz E, Paranhos J, Soto A, Armonda RA, Rosenfeld JV. World Neurosurg. 2019; ePub(ePub): ePub.

Affiliation

Senior Neurosurgeon, Alfred Hospital, Melbourne, (Australia), Professor of Surgery, Monash University, Melbourne, (Australia), Adjunct Professor, Department of Surgery, F. Edward Hébert School of Medicine, Uniformed Services University, Bethesda, MD, USA. Electronic address: j.rosenfeld@alfred.org.au.

Copyright

(Copyright © 2019, Elsevier Publishing)

DOI

10.1016/j.wneu.2019.01.005

PMID

30659971

Abstract

Damage control surgery has been described as a sequential therapeutic strategy that supports physiological restoration over anatomical repair in patients with critical injuries. The application of this concept in neurosurgery has evolved since early definitions in 1998. Current strategies have been supported by military neurosurgery experience and the concept is being applied in civilian settings with limited resources. The aim of this narrative review is to describe the evolution of the concept, the surgical techniques and the lessons learned from civilian and military neurosurgeons who apply the concept regularly, especially in practice at military hospitals or in civilian institutions with limited resources in low and middle income countries. Damage control in neurotrauma is a therapeutic option for severe traumatic brain injury management in austere environments. In order to apply the concept of damage control in neurotrauma while using an appropriate approach, lessons must be learned from experienced neurosurgeons who use this technique regularly.

Copyright © 2019. Published by Elsevier Inc.

Language: en

Keywords

Damage Control; Global Surgery; Low Resources; Military Neurotrauma; Neurotrauma; Severe TBI