RT Book, Section A1 Bradley, Matt A1 White, Joe A1 Rasmussen, Todd A2 DuBose, Joseph J. A2 Teixeira, Pedro G. A2 Rajani, Ravi R. SR Print(0) ID 1200599066 T1 Damage Control Vascular Surgery T2 Vascular Injury: Endovascular and Open Surgical Management YR 2023 FD 2023 PB McGraw Hill PP New York, NY SN 9781264269822 LK accesssurgery.mhmedical.com/content.aspx?aid=1200599066 RD 2024/10/09 AB During World War II, the U.S. Navy recognized the importance of damage control strategies and published a manual (Handbook of Damage Control) to ensure ships remained serviceable in battle to the fullest extent possible.1 The term “damage control,” as it is currently used in surgery, originated in a paper by Rotondo et al. in 1993.2 This report described a reduction in mortality in patients with severe penetrating abdominal injury. Rather than performing the “definitive laparotomy” at the index operation, a “damage control” approach was implemented. Therefore, rapid surgical control of vascular injury and hemorrhage was accomplished in conjunction with control of fecal contamination. Definitive repairs were delayed until the patient underwent significant resuscitation and stabilization outside of the operative room (OR). During this period, correction of coagulopathy, acidosis, and hypothermia could be accomplished and definitive surgical management planned. Antecedent publications included work by Stone et al. in 1983 describing rapid intra-abdominal packing and termination of laparotomy at the onset of apparent intraoperative coagulopathy with return to OR after resuscitation and stabilization.3 Multiple other studies have further refined damage control strategies and techniques establishing the foundation for this surgical maneuver.4–13 Damage control surgery is now widely practiced and the application of damage control principles are implemented in the most severely injured trauma patients. In vascular surgery, damage control strategies focus on rapid hemorrhage control and temporary restoration of end-organ perfusion in order to mitigate the effects of ischemia while other life-threatening injuries are managed.