Open damage control vascular surgery

Damage control vascular surgery incorporates strategies to achieve rapid control of hemorrhage while mitigating ischemia by establishing adequate end-organ perfusion in an abbreviated initial intervention. Vascular damage control surgery functions in concert with damage control resuscitation focused on the correction of physiologic derangements and metabolic acidosis, the correction of coagulopathy, appropriate blood product transfusion, and active patient warming measures to ameliorate hypothermia. Ultimately, the patient's physiology dictates the technical feasibility of vascular intervention and determines operative planning with respect to injury management. Surgeon experience and technical familiarity with vascular injury and location of the vascular injury are significant factors that alter patient outcomes.