{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:23:15Z","timestamp":1787840595509,"version":"build-2784847793"},"reference-count":11,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2025,7,1]],"date-time":"2025-07-01T00:00:00Z","timestamp":1751328000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2025,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Damage control surgery (DCS) has revolutionized the management of critically ill patients with severe colorectal pathology. Initially developed for wartime trauma, DCS principles have been adapted to emergency colorectal surgery, emphasizing rapid contamination control, physiological stabilization, and staged surgical repair. This case series highlights the role of bailout laparotomy in managing life-threatening colorectal emergencies. This series presents seven patients aged 24\u201376 years, undergoing emergency colorectal surgery for varied conditions such as perforation (self-foreign body insertion and trauma), volvulus, malignant obstruction and inflammatory diseases. Surgical interventions included primary repair, Hartmann\u2019s procedure, diversion stomas, and tumor biopsy with decompression. Postoperative management focused on sepsis control and nutritional support, leading to favorable patient outcomes. Emergency colorectal surgery presents significant challenges due to the high risk of sepsis, hemodynamic instability, and complications associated with delayed treatment. DCS, particularly bailout laparotomy, prioritizes patient stabilization over immediate definitive repair, reducing intraoperative risks. This approach has demonstrated success in improving survival rates when minimizing postoperative morbidity care. Despite its advantages, DCS requires careful patient selection to avoid unnecessary staged interventions and prolonged hospitalizations. By allowing physiological stabilization before definitive repair, this approach enhances survival and reduces complications. The adaptation of wartime surgical principles to modern civilian practice underscores the evolving role of DCS in emergency gastrointestinal surgery.<\/jats:p>","DOI":"10.4103\/jets.jets_27_25","type":"journal-article","created":{"date-parts":[[2025,7,29]],"date-time":"2025-07-29T04:00:11Z","timestamp":1753761611000},"page":"141-144","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Abbreviated Laparotomy in Emergency Colorectal Disease from Battlefield Innovations to Modern Practice"],"prefix":"10.4103","volume":"18","author":[{"given":"Anshul","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of General Surgery, Government Medical College, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Agrawal Kavita","family":"Khemchand","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Government Medical College, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajesh Kumar","family":"Bansiwal","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Government Medical College, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeev","family":"Sharma","sequence":"additional","affiliation":[{"name":"Department of General Surgery, Government Medical College, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2025,7,29]]},"reference":[{"key":"R1-20251021","doi-asserted-by":"crossref","first-page":"36","DOI":"10.1055\/s-0037-1602178","article-title":"Management of destructive colon injuries after damage control surgery","volume":"31","author":"Chamieh","year":"2018","journal-title":"Clin Colon Rectal Surg"},{"key":"R2-20251021","doi-asserted-by":"crossref","first-page":"395","DOI":"10.1001\/archsurg.2010.284","article-title":"Long-term impact of damage control laparotomy: A prospective study","volume":"146","author":"Brenner","year":"2011","journal-title":"Arch Surg"},{"key":"R3-20251021","doi-asserted-by":"crossref","first-page":"zrab106","DOI":"10.1093\/bjsopen\/zrab106","article-title":"Rate of stoma formation following damage-control surgery for severe intra-abdominal sepsis: A single-centre consecutive case series","volume":"5","author":"Faes","year":"2021","journal-title":"BJS Open"},{"key":"R4-20251021","doi-asserted-by":"crossref","first-page":"e000235","DOI":"10.1136\/tsaco-2018-000235","article-title":"Damage control or definitive repair?A retrospective review of abdominal trauma at a major trauma center in South Africa","volume":"4","author":"Weale","year":"2019","journal-title":"Trauma Surg Acute Care Open"},{"key":"R5-20251021","doi-asserted-by":"crossref","first-page":"375","DOI":"10.1097\/00005373-199309000-00008","article-title":"Damage control: An evolving paradigm in trauma surgery","volume":"35","author":"Rotondo","year":"1993","journal-title":"J Trauma"},{"key":"R6-20251021","doi-asserted-by":"crossref","first-page":"1187","DOI":"10.1097\/TA.0000000000000647","article-title":"Indications for use of damage control surgery and damage control interventions in civilian trauma patients: A scoping review","volume":"78","author":"Roberts","year":"2015","journal-title":"J Trauma Acute Care Surg"},{"key":"R7-20251021","first-page":"64","article-title":"Damage control surgery in emergency general surgery: Evolution and outcomes","volume":"91","author":"Hatch","year":"2021","journal-title":"J Trauma Acute Care Surg"},{"key":"R8-20251021","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1177\/1457496914524388","article-title":"Damage control resuscitation in trauma","volume":"103","author":"Kaafarani","year":"2014","journal-title":"Scand J Surg"},{"key":"R9-20251021","first-page":"1402","article-title":"Damage control resuscitation: The evolving role of hemostatic resuscitation in the severely injured trauma patient","volume":"69","author":"Duchesne","year":"2010","journal-title":"J Trauma"},{"key":"R10-20251021","first-page":"1361","article-title":"Does damage control laparotomy save lives?","volume":"69","author":"Diaz","year":"2010","journal-title":"J Trauma"},{"key":"R11-20251021","first-page":"10","article-title":"Damage control in pediatric trauma","volume":"19","author":"St","year":"2010","journal-title":"Semin Pediatr Surg"}],"container-title":["Journal of Emergencies, Trauma, and Shock"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/jets.jets_27_25","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T13:25:39Z","timestamp":1787837139000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/jets.jets_27_25"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,7]]},"references-count":11,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2025]]}},"URL":"https:\/\/doi.org\/10.4103\/jets.jets_27_25","relation":{},"ISSN":["0974-2700","0974-519X"],"issn-type":[{"value":"0974-2700","type":"print"},{"value":"0974-519X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,7]]},"assertion":[{"value":"2025-03-03","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-23","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}