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In this issue of JAMA Surgery, DiNorcia et al1 suggest that damage control (DC) strategies adopted from the trauma experience can also be applied to hypothermic, coagulopathic, and/or hemodynamically unstable patients undergoing liver transplant. In this single-center, 10-year experience, 150 liver transplant recipients (8.3%) underwent intra-abdominal packing and delayed biliary reconstruction after reperfusion with the intent to complete the biliary reconstruction and close the abdomen within 48 hours.
Melcher ML. Saving Supersick Patients Undergoing Liver Transplant . JAMA Surg. 2015;150(11):1073. doi:10.1001/jamasurg.2015.1881