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Invited Commentary
October 2013

Damage Control: A Balancing Act

Author Affiliations
  • 1US Air Force, Norman M. Rich Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, Maryland, and Department of Surgery, San Antonio Military Medical Center, Joint Base San Antonio–Fort Sam Houston, Texas
JAMA Surg. 2013;148(10):955. doi:10.1001/jamasurg.2013.2525

Damage control laparotomy has transformed the practice of trauma and acute care surgery in the modern era.1 However, its indications and implementation remain more art than science. Although damage control laparotomy can be lifesaving for the right patient, poor patient selection and suboptimal management after the index operation can diminish the benefits of this strategy.

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