Application of damage control in intra-abdominal sepsis_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

XU Lin ^1,2 , SHI Xin ² , LI Gaitian ² , CHEN Peng ² , LI Hongtao ² ,  LIU Hongbin ^1,2

1. The Second Hospital Affiliated to Lanzhou University, Lanzhou 730000, P. R. China;
2. Department of General Surgery, Lanzhou General Hospital of Lanzhou Military Command, Lanzhou 730050, P. R. China;

Corresponding author：

LIU Hongbin, Email: Liuhongbin999@163.com

Keywords：

intra-abdominal sepsis; damage control resuscitation; damage control surgery; abdominal compartment syndrome; review

DOI：

10.7507/1007-9424.201808029

Video：

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Objective To explore the application value of damage control in intra-abdominal sepsis. Methods The related literatures were searched by searching literatures with " damage control” " damage control resuscitation” damage control surgery”, and " intra-abdominal sepsis”, to made an review. Results Despite significant advances in management and treatment, mortality from intra-abdominal sepsis remained still high. Due to its unique anatomic and microbial environment, initial operation could not completely remove the source of infection and avoid complications. Therefore, it was becoming increasingly popular to utilize a damage control strategy with abbreviated laparotomy and planned reoperations. Conclusions Damage control is characterized by staged treatment, and is widely accepted used to manage intra-abdominal sepsis.

Citation： XU Lin, SHI Xin, LI Gaitian, CHEN Peng, LI Hongtao, LIU Hongbin. Application of damage control in intra-abdominal sepsis. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2019, 26(2): 253-256. doi: 10.7507/1007-9424.201808029 Copy

1.	Vincent JL, Opal SM, Marshall JC, et al. Sepsis definitions: time for change. Lancet, 2013, 381(9868): 774-775.
2.	Singer M, Deutschman CS, Seymour CW, et al. The third international consensus definitions for sepsis and septic shock (sepsis-3). JAMA, 2016, 315(8): 801-810.
3.	Fleischmann C, Scherag A, Adhikari NK, et al. Assessment of global incidence and mortality of hospital-treated sepsis. Current estimates and limitations. Am J Respir Crit Care Med, 2016, 193(3): 259-272.
4.	Karlsson S, Varpula M, Ruokonen E, et al. Incidence, treatment, and outcome of severe sepsis in ICU-treated adults in Finland: the Finnsepsis study. Intensive Care Med, 2007, 33(3): 435-443.
5.	Roberts DJ, Ball CG, Kirkpatrick AW. Increased pressure within the abdominal compartment: intra-abdominal hypertension and the abdominal compartment syndrome. Curr Opin Crit Care, 2016, 22(2): 174-185.
6.	Angus DC, van der Poll T. Severe sepsis and septic shock. N Engl J Med, 2013, 369(9): 840-851.
7.	Weber DG, Bendinelli C, Balogh ZJ. Damage control surgery for abdominal emergencies. Br J Surg, 2014, 101(1): e109-e118.
8.	Kirkpatrick AW, Coccolini F, Ansaloni L, et al. Closed or open after source control laparotomy for severe complicated intra-abdominal sepsis (the COOL trial): study protocol for a randomized controlled trial. World J Emerg Surg, 2018, 22(13): 26.
9.	Rotondo MF, Schwab CW, McGonigal MD, et al. ‘Damage control’: an approach for improved survival in exsanguinating penetrating abdominal injury. J Trauma, 1993, 35(3): 375-382.
10.	Coccolini F, Roberts D, Ansaloni L, et al. The open abdomen in trauma and non-trauma patients: WSES guidelines. World J Emerg Surg, 2018, 13: 7.
11.	Kirkpatrick AW, Roberts DJ, De Waele J, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med, 2013, 39(7): 1190-1206.
12.	Waibel BH, Rotondo MF. Damage control for intra-abdominal sepsis. Surg Clin North Am, 2012, 92(2): 243-257.
13.	Leppäniemi A, Kimball EJ, De Laet I, et al. Management of abdominal sepsis-a paradigm shift. Anaesthesiol Intensive Ther, 2015, 47(4): 400-408.
14.	Beckman M, Paul J, Neideen T, et al. Role of the open abdomen in critically ill patients. Crit Care Clin, 2016, 32(2): 255-264.
15.	王革非, 任建安, 赵允召, 等. 严重腹腔感染的损伤控制性外科治疗. 肠外与肠内营养, 2009, 16(6): 361-363.
16.	龚平, 李春盛. 脓毒症和线粒体功能障碍. 中华危重病急救医学, 2013, 25(4): 254-256.
17.	Rocha LL, Pessoa CM, Corrêa TD, et al. Current concepts on hemodynamic support and therapy in septic shock. Braz J Anesthesiol, 2015, 65(5): 395-402.
18.	任建安. 外科病人液体治疗争论与共识. 中国实用外科杂志, 2015, 35(2): 125-128.
19.	Sarlak H, Tanrıseven M, Duran E. Fluid management dilemma in patients with severe sepsis and septic shock. Am J Emerg Med, 2015, 33(9): 1311-1312.
20.	Brown RM, Semler MW. Fluid management in sepsis. J Intensive Care Med, 2018, [Epub ahead of print].
21.	王永进, 何钢. 感染性休克液体复苏进展. 中华急诊医学杂志, 2017, 26(1): 123-128.
22.	Perner A, Cecconi M, Cronhjort M, et al. Expert statement for the management of hypovolemia in sepsis. Intensive Care Med, 2018, 44(6): 791-798.
23.	Semler MW, Wheeler AP, Thompson BT, et al. Impact of initial central venous pressure on outcomes of conservative versus liberal fluid management in acute respiratory distress syndrome. Crit Care Med, 2016, 44(4): 782-789.
24.	Coopersmith CM, De Backer D, Deutschman CS, et al. Surviving sepsis campaign: research priorities for sepsis and septic shock. Crit Care Med, 2018, 46(8): 1334-1356.
25.	Lu N, Xi X, Jiang L, et al. Exploring the best predictors of fluid responsiveness in patients with septic shock. Am J Emerg Med, 2017, 35(9): 1258-1261.
26.	黎介寿. 腹部损伤控制性手术. 中国实用外科杂志, 2006, 26(8): 561-562.
27.	Becher RD, Peitzman AB, Sperry JL, et al. Damage control operations in non-trauma patients: defining criteria for the staged rapid source control laparotomy in emergency general surgery. World J Emerg Surg, 2016, 11(1): 10.
28.	Smith JW, Nash N, Procter L, et al. Not all abdomens are the same: a comparison of damage control surgery for intra-abdominal sepsis versus trauma. Am Surg, 2016, 82(5): 427-432.
29.	Opmeer BC, Boer KR, van Ruler O, et al. Costs of relaparotomy on-demand versus planned relaparotomy in patients with severe peritonitis: an economic evaluation within a randomized controlled trial. Crit Care, 2010, 14(3): R97.
30.	De Waele JJ. Abdominal sepsis. Curr Infect Dis Rep, 2016, 18(8): 23.
31.	Van Ruler O, Mahler CW, Boer KR, et al. Comparison of on-demand vs planned relaparotomy strategy in patients with severe peritonitis: a randomized trial. JAMA, 2007, 298(8): 865-872.
32.	Robledo FA, Luque-de-León E, Suárez R, et al. Open versus closed management of the abdomen in the surgical treatment of severe secondary peritonitis: a randomized clinical trial. Surg Infect (Larchmt), 2007, 8(1): 63-72.
33.	Girard E, Abba J, Boussat B, et al. Damage control surgery for non-traumatic abdominal emergencies. World J Surg, 2018, 42(4): 965-973.
34.	Sartelli M, Chichom-Mefire A, Labricciosa FM, et al. The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections. World J Emerg Surg, 2017, 12: 29.
35.	Benz D, Balogh ZJ. Damage control surgery: current state and future directions. Curr Opin Crit Care, 2017, 23(6): 491-497.

1. Vincent JL, Opal SM, Marshall JC, et al. Sepsis definitions: time for change. Lancet, 2013, 381(9868): 774-775.
2. Singer M, Deutschman CS, Seymour CW, et al. The third international consensus definitions for sepsis and septic shock (sepsis-3). JAMA, 2016, 315(8): 801-810.
3. Fleischmann C, Scherag A, Adhikari NK, et al. Assessment of global incidence and mortality of hospital-treated sepsis. Current estimates and limitations. Am J Respir Crit Care Med, 2016, 193(3): 259-272.
4. Karlsson S, Varpula M, Ruokonen E, et al. Incidence, treatment, and outcome of severe sepsis in ICU-treated adults in Finland: the Finnsepsis study. Intensive Care Med, 2007, 33(3): 435-443.
5. Roberts DJ, Ball CG, Kirkpatrick AW. Increased pressure within the abdominal compartment: intra-abdominal hypertension and the abdominal compartment syndrome. Curr Opin Crit Care, 2016, 22(2): 174-185.
6. Angus DC, van der Poll T. Severe sepsis and septic shock. N Engl J Med, 2013, 369(9): 840-851.
7. Weber DG, Bendinelli C, Balogh ZJ. Damage control surgery for abdominal emergencies. Br J Surg, 2014, 101(1): e109-e118.
8. Kirkpatrick AW, Coccolini F, Ansaloni L, et al. Closed or open after source control laparotomy for severe complicated intra-abdominal sepsis (the COOL trial): study protocol for a randomized controlled trial. World J Emerg Surg, 2018, 22(13): 26.
9. Rotondo MF, Schwab CW, McGonigal MD, et al. ‘Damage control’: an approach for improved survival in exsanguinating penetrating abdominal injury. J Trauma, 1993, 35(3): 375-382.
10. Coccolini F, Roberts D, Ansaloni L, et al. The open abdomen in trauma and non-trauma patients: WSES guidelines. World J Emerg Surg, 2018, 13: 7.
11. Kirkpatrick AW, Roberts DJ, De Waele J, et al. Intra-abdominal hypertension and the abdominal compartment syndrome: updated consensus definitions and clinical practice guidelines from the World Society of the Abdominal Compartment Syndrome. Intensive Care Med, 2013, 39(7): 1190-1206.
12. Waibel BH, Rotondo MF. Damage control for intra-abdominal sepsis. Surg Clin North Am, 2012, 92(2): 243-257.
13. Leppäniemi A, Kimball EJ, De Laet I, et al. Management of abdominal sepsis-a paradigm shift. Anaesthesiol Intensive Ther, 2015, 47(4): 400-408.
14. Beckman M, Paul J, Neideen T, et al. Role of the open abdomen in critically ill patients. Crit Care Clin, 2016, 32(2): 255-264.
15. 王革非, 任建安, 赵允召, 等. 严重腹腔感染的损伤控制性外科治疗. 肠外与肠内营养, 2009, 16(6): 361-363.
16. 龚平, 李春盛. 脓毒症和线粒体功能障碍. 中华危重病急救医学, 2013, 25(4): 254-256.
17. Rocha LL, Pessoa CM, Corrêa TD, et al. Current concepts on hemodynamic support and therapy in septic shock. Braz J Anesthesiol, 2015, 65(5): 395-402.
18. 任建安. 外科病人液体治疗争论与共识. 中国实用外科杂志, 2015, 35(2): 125-128.
19. Sarlak H, Tanrıseven M, Duran E. Fluid management dilemma in patients with severe sepsis and septic shock. Am J Emerg Med, 2015, 33(9): 1311-1312.
20. Brown RM, Semler MW. Fluid management in sepsis. J Intensive Care Med, 2018, [Epub ahead of print].
21. 王永进, 何钢. 感染性休克液体复苏进展. 中华急诊医学杂志, 2017, 26(1): 123-128.
22. Perner A, Cecconi M, Cronhjort M, et al. Expert statement for the management of hypovolemia in sepsis. Intensive Care Med, 2018, 44(6): 791-798.
23. Semler MW, Wheeler AP, Thompson BT, et al. Impact of initial central venous pressure on outcomes of conservative versus liberal fluid management in acute respiratory distress syndrome. Crit Care Med, 2016, 44(4): 782-789.
24. Coopersmith CM, De Backer D, Deutschman CS, et al. Surviving sepsis campaign: research priorities for sepsis and septic shock. Crit Care Med, 2018, 46(8): 1334-1356.
25. Lu N, Xi X, Jiang L, et al. Exploring the best predictors of fluid responsiveness in patients with septic shock. Am J Emerg Med, 2017, 35(9): 1258-1261.
26. 黎介寿. 腹部损伤控制性手术. 中国实用外科杂志, 2006, 26(8): 561-562.
27. Becher RD, Peitzman AB, Sperry JL, et al. Damage control operations in non-trauma patients: defining criteria for the staged rapid source control laparotomy in emergency general surgery. World J Emerg Surg, 2016, 11(1): 10.
28. Smith JW, Nash N, Procter L, et al. Not all abdomens are the same: a comparison of damage control surgery for intra-abdominal sepsis versus trauma. Am Surg, 2016, 82(5): 427-432.
29. Opmeer BC, Boer KR, van Ruler O, et al. Costs of relaparotomy on-demand versus planned relaparotomy in patients with severe peritonitis: an economic evaluation within a randomized controlled trial. Crit Care, 2010, 14(3): R97.
30. De Waele JJ. Abdominal sepsis. Curr Infect Dis Rep, 2016, 18(8): 23.
31. Van Ruler O, Mahler CW, Boer KR, et al. Comparison of on-demand vs planned relaparotomy strategy in patients with severe peritonitis: a randomized trial. JAMA, 2007, 298(8): 865-872.
32. Robledo FA, Luque-de-León E, Suárez R, et al. Open versus closed management of the abdomen in the surgical treatment of severe secondary peritonitis: a randomized clinical trial. Surg Infect (Larchmt), 2007, 8(1): 63-72.
33. Girard E, Abba J, Boussat B, et al. Damage control surgery for non-traumatic abdominal emergencies. World J Surg, 2018, 42(4): 965-973.
34. Sartelli M, Chichom-Mefire A, Labricciosa FM, et al. The management of intra-abdominal infections from a global perspective: 2017 WSES guidelines for management of intra-abdominal infections. World J Emerg Surg, 2017, 12: 29.
35. Benz D, Balogh ZJ. Damage control surgery: current state and future directions. Curr Opin Crit Care, 2017, 23(6): 491-497.

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