• Carlos A Ordoñez, Yaset Caicedo, Michael W Parra, Fernando Rodríguez-Holguín, José Julián Serna, Alexander Salcedo, María Josefa Franco, Luis Eduardo Toro, Luis Fernando Pino, Mónica Guzmán-Rodríguez, Claudia Orlas, Juan Pablo Herrera-Escobar, Adolfo González-Hadad, Mario Alain Herrera, Gonzalo Aristizábal, and Alberto García.
• Fundación Valle del Lili. Department of Surgery. Division of Trauma and Acute Care Surgery, Cali, Colombia.
• Colomb Medica. 2021 Apr 1; 52 (2): e4194809.

AbstractDamage control surgery is based on temporal control of the injury, physiologic recovery and posterior deferred definitive management. This strategy began in the 1980s and became a formal concept in 1993. It has proven to be a strategy that reduces mortality in severely injured trauma patients. Nevertheless, the concept of damage control in non-traumatic abdominal pathology remains controversial. This article aims to gather historical experiences in damage control surgery performed in non-traumatic abdominal emergency pathology patients and present a novel management algorithm. This strategy could be a surgical option to treat hemodynamically unstable patients in catastrophic scenarios such as hemorrhagic and septic shock caused by peritonitis, pancreatitis, acute mesenteric ischemia, among others. Therefore, damage control surgery is light amid better short- and long-term results.Copyright © 2021 Colombia Medica.

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