{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,15]],"date-time":"2026-01-15T07:56:44Z","timestamp":1768463804083,"version":"3.49.0"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T00:00:00Z","timestamp":1604534400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T00:00:00Z","timestamp":1604534400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/www.springer.com\/tdm"},{"start":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T00:00:00Z","timestamp":1604534400000},"content-version":"vor","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":[[2021,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Damage control surgery (DCS) has emerged as a new option in the management of non\u2010traumatic peritonitis patients to increase survival in critically ill patients. The purpose of this study was to compare DCS with conventional strategy (anastomosis\/ostomies in the index laparotomy) for severe non\u2010traumatic peritonitis regarding postoperative complications, ostomy rate, and mortality and to propose a useful algorithm in the clinical practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Patients who underwent an urgent laparotomy for non\u2010trauma peritonitis at a single level I trauma center in Colombia between January 2003 and December 2018, were retrospectively included. We compared patients who had DCS management versus definitive initial surgical management (DISM) group. We evaluated clinical outcomes and morbidities among groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>290 patients were included; 81 patients were treated with DCS and 209 patients underwent DISM. Patients treated with DCS had a worse critical status before surgery with higher SOFA score [median, DCS group: 5 (IQR: 3\u20138) vs. DISM group: 3 (IQR: 1\u20136), <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001]. The length of hospital stay and overall mortality rate of DCS group were not significant statistical differences with DISM group. Complications rate related to primary anastomosis or primary ostomy was similar. There is not difference in ostomy rate among groups. At multivariate analysis, SOFA\u2009&gt;\u20096 points and APACHE\u2010II\u2009&gt;\u200920 points correlated with a higher probability of DCS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>DCS in severe non\u2010trauma peritonitis patients is feasible and safe as surgical strategy management without increasing mortality, length hospital of stay, or complications. DCS principles might be applied in the non\u2010trauma scenarios without increase the stoma rate.<\/jats:p><\/jats:sec>","DOI":"10.1007\/s00268-020-05854-y","type":"journal-article","created":{"date-parts":[[2020,11,5]],"date-time":"2020-11-05T16:02:51Z","timestamp":1604592171000},"page":"1043-1052","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Damage Control Surgery may be a Safe Option for Severe Non\u2010Trauma Peritonitis Management: Proposal of a New Decision\u2010Making Algorithm"],"prefix":"10.1002","volume":"45","author":[{"given":"Carlos A.","family":"Ordo\u00f1ez","sequence":"first","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery Fundaci\u00f3n Valle del Lili Cra 98 No. 18 \u2010 49 760032 Cali Colombia"},{"name":"Secci\u00f3n de Cirug\u00eda de Trauma Y Emergencias Universidad del Valle \u2013 Hospital Universitario del Valle Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Parra","sequence":"additional","affiliation":[{"name":"Department of Trauma Critical Care Broward General Level I Trauma Center Fort Lauderdale FL USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alberto","family":"Garc\u00eda","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery Fundaci\u00f3n Valle del Lili Cra 98 No. 18 \u2010 49 760032 Cali Colombia"},{"name":"Secci\u00f3n de Cirug\u00eda de Trauma Y Emergencias Universidad del Valle \u2013 Hospital Universitario del Valle Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery Fundaci\u00f3n Valle del Lili Cra 98 No. 18 \u2010 49 760032 Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaset","family":"Caicedo","sequence":"additional","affiliation":[{"name":"Centro de Investigaciones Cl\u00ednicas (CIC) Fundaci\u00f3n Valle del Lili Cra 98 No. 18 \u2010 49 760032 Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 Juli\u00e1n","family":"Serna","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery Fundaci\u00f3n Valle del Lili Cra 98 No. 18 \u2010 49 760032 Cali Colombia"},{"name":"Secci\u00f3n de Cirug\u00eda de Trauma Y Emergencias Universidad del Valle \u2013 Hospital Universitario del Valle Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Salcedo","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery Fundaci\u00f3n Valle del Lili Cra 98 No. 18 \u2010 49 760032 Cali Colombia"},{"name":"Secci\u00f3n de Cirug\u00eda de Trauma Y Emergencias Universidad del Valle \u2013 Hospital Universitario del Valle Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Josefa","family":"Franco","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery Fundaci\u00f3n Valle del Lili Cra 98 No. 18 \u2010 49 760032 Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Eduardo","family":"Toro","sequence":"additional","affiliation":[{"name":"Division of Trauma and Acute Care Surgery, Department of Surgery Fundaci\u00f3n Valle del Lili Cra 98 No. 18 \u2010 49 760032 Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Juliana","family":"Ordo\u00f1ez","sequence":"additional","affiliation":[{"name":"Secci\u00f3n de Cirug\u00eda de Trauma Y Emergencias Universidad del Valle \u2013 Hospital Universitario del Valle Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luis Fernando","family":"Pino","sequence":"additional","affiliation":[{"name":"Secci\u00f3n de Cirug\u00eda de Trauma Y Emergencias Universidad del Valle \u2013 Hospital Universitario del Valle Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M\u00f3nica","family":"Guzm\u00e1n","sequence":"additional","affiliation":[{"name":"Centro de Investigaciones Cl\u00ednicas (CIC) Fundaci\u00f3n Valle del Lili Cra 98 No. 18 \u2010 49 760032 Cali Colombia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claudia","family":"Orlas","sequence":"additional","affiliation":[{"name":"Center for Surgery and Public Health, Department of Surgery, Harvard Medical School &amp; Harvard T.H. 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