The Evolution of Damage Control Surgery

John Chovanes, Jeremy W. Cannon, Timothy C. Nunez*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

60 Scopus citations


The philosophy of damage control surgery has developed tremendously over the past 10 years. It has expanded outside the original boundaries of the abdomen and has been applied to all aspects of trauma care, ranging from resuscitation to limb-threatening vascular injuries. In recent years, the US military has taken the concept to a new level by initiating a damage control approach at the point of injury and continuing it through a transcontinental health care system. This article highlights many recent advances in damage control surgery and discusses proper patient selection and the risks associated with this management strategy.

Original languageEnglish
Pages (from-to)859-875
Number of pages17
JournalSurgical Clinics of North America
Issue number4
StatePublished - Aug 2012
Externally publishedYes


  • Abbreviated laparotomy
  • Combat surgery
  • Damage control surgery
  • Shunt
  • Temporary abdominal closure
  • Temporary chest closure


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