(BQ) Part 2 book "Surgical decision making beyond the evidence based surgery" presentation of content: Difficult clinical based surgical decisions, special issues in surgical decision making, the final word. | Part II Difficult Clinical-Based Surgical Decisions 9 Surgical Decision-Making Process and Damage Control: Current Principles and Practice Ruben Peralta, Gaby Jabbour, and Rifat Latifi Introduction Traditionally, the common surgical practice included the completion of the operation regardless of the physiologic condition of the patient. However, in trauma patients this can be challenging. Therefore, multiple strategies were developed to avoid this dilemma. While the damage control (DC) has become popular in the last few decades, this is not a new concept. Historically, the management of devastating abdominal injuries has been documented by the work of others, but the most well-known surgeon is Pringle, who described the use of packs and digital compression of the portal triad in large liver injuries more than a century ago [1]. Ogilvie during R. Peralta, ., . (*) Department of Surgery, Division of Trauma Surgery, Hamad General Hospital and Hamad Medical Corporation, Al Rayyan Rd, PO Box 3050, Doha, Qatar e-mail: rperaltamd@ G. Jabbour, . Division of Trauma Surgery, Department of Surgery, Hamad Medical Corporation, Al Rayyan Rd, PO Box 3050, Doha, Qatar e-mail: Jabbourgaby9@ R. Latifi, ., . Department of Surgery, Westchester Medical Center, New York Medical College, 100 Woods Road, Valhalla, NY 10595, USA Department of Surgery, University of Arizona, Tucson, AZ, USA e-mail: World War II described the use of open abdomen technique in severely injured patients [2]. Lucas and Ledgerwood reported the management of liver injuries with temporary perihepatic packings in 1976 [3]. Stone described the modern concept of abbreviated laparotomy in 1983 [4]: hemorrhage was controlled by tamponade; bowel injuries were resected; noncritical injured vessels were ligated; and biliopancreatic injuries were drained. Later, these patients underwent definitive repairs. The term “damage control” was popularized by .
