• José Francisco Camacho Aguilera and Sergio Mascareño Jiménez.
• Instituto Mexicano del Seguro Social, Querétaro. scientia_medica@hotmail.com
• Gac Med Mex. 2013 Jan 1;149(1):61-72.

ObjectiveTo present a monographic review of the damage control surgery.Data CollectionConsult and literature review (131 references).Selection Of StudiesWe analyzed these relevant articles in relation to damage control surgery.Data ExtractionFrom each reference we obtain concepts, data and techniques derivates of damage control surgery.ResultsDamage control surgery is a surgical technique that attempts to avoid the triad of coagulopathy,hypothermia and acidosis through application of three phases in patients with multiple lesions. These phases are: Initial laparotomy, stabilization in ICU and definitive surgery. During initial laparotomy efforts are made to controlling the surgical and non surgical bleeding (through packing) and avoid peritoneal contamination. During the stabilization phase the hypothermia, acidosis and coagulopathy are corrected in ICU. In definitive surgery, packing is removed and makes the definitive repair of lesions.ConclusionFor the trauma surgeon is important the knowledge about the concepts related to damage control surgery. This is applicable to multiple trauma patients, and disaster situations like terrorism acts and natural disasters.

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