{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,15]],"date-time":"2026-09-15T11:23:10Z","timestamp":1789471390225,"version":"build-2803163510"},"reference-count":35,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T00:00:00Z","timestamp":1506297600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T00:00:00Z","timestamp":1506297600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Damage control surgery (DCS) was a major paradigm change in the management of critically ill trauma patients and has gradually expanded in the general surgery arena, but data in this setting are still scarce. The study aim was to evaluate outcomes of DCS in patients with general surgery emergencies.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Between 2005 and 2015, 164 patients (104\u00a0men, age 66) underwent DCS for non\u2010traumatic abdominal emergencies. The decision to perform DCS was triggered by the presence of at least one trauma DCS criterion: hypotension (&lt;70\u00a0mmHg), hypothermia (&lt;35\u00a0\u00b0C), acidosis (pH &lt; 7.25), coagulopathy (INR \u2265 1.7) and massive (&gt;5 RBC) transfusion. Statistical tests were performed to identify risk factors for operative mortality. Observed outcomes were compared to those predicted by commonly employed scores (APACHE II, POSSUM, P\u2010POSSUM, SAPS II).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>DCS was performed for acute mesenteric ischemia (<jats:italic>n<\/jats:italic> = 68), peritonitis (<jats:italic>n<\/jats:italic> = 44), pancreatitis (<jats:italic>n<\/jats:italic> = 28), bleeding (<jats:italic>n<\/jats:italic> = 14) and other (<jats:italic>n<\/jats:italic> = 10). Abdominal compartment syndrome was associated in 52 patients (32%). Seventy\u2010four (45%) patients died and 150 patients (91%) experienced complications. On multivariate analysis, age (<jats:italic>p<\/jats:italic> = 0.018) and INR \u2265 1.7 (<jats:italic>p<\/jats:italic> = 0.001) were independent predictors of mortality. Mortality was 24% (13\/55), 48% (22\/46) and 62% (39\/63) in patients with one, two and \u22653 DCS criteria, respectively. Comparison of observed and score\u2010predicted mortality suggested DCS use resulted in significant survival benefit of the whole cohort and of patients with pancreatitis and postoperative peritonitis.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>DCS can be lifesaving in critically ill patients with general surgery emergencies. Patients with peritonitis and acute pancreatitis are those who benefit most of the DCS approach.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-017-4262-6","type":"journal-article","created":{"date-parts":[[2017,9,25]],"date-time":"2017-09-25T15:54:10Z","timestamp":1506354850000},"page":"965-973","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":47,"title":["Damage Control Surgery for Non\u2010traumatic Abdominal Emergencies"],"prefix":"10.1002","volume":"42","author":[{"given":"Edouard","family":"Girard","sequence":"first","affiliation":[{"name":"Digestive and Emergency Surgery Department Grenoble\u2010Alpes University Hospital Grenoble France"},{"name":"TIMC Research Unit, CNRS Grenoble\u2010Alpes University Grenoble France"},{"name":"Service de Chirurgie Digestive et G\u00e9n\u00e9rale, H\u00f4pital Michallon Centre Hospitalier Universitaire Grenoble\u2010Alpes Boulevard de la Chantourne 38700 Grenoble La Tronche 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