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Abstract
Damage control surgery. Initial experience in the Hospital General de Ciudad Juárez, México, during the period ofApril 2008 and Dicember 2010Objective: to analyze the results of damage control surgery in an institution with high incidence of trauma in México.Materials and methods: prospective and descriptive study, realized in the Hospital General of Ciudad Juarez. It wasincluded 66 patients with several abdominal injuries made by missile of firearms or sharp-edged objects underwentto damage control surgery between April 2008 and December 2010. The statistical analysis was with percentages assummary measures of variables. Results: the average age was 29.6 years old, with 59 patients with firearm’s injuriesand siete patients with incised wounds. The average surgical time was 97 minutes. The most injured hollow viscuswas small intestine with 35 cases and the solid organ was the liver with 30 patients injured. It was found an averagehemoperitoneum of 3350 ml. Besides, 64 patients showed IV degree hypovolemic shock and 2 with III degree shock.The main complication was surgical site infection and the main cause of postsurgical death was multiple organ failuresecondary to the presence of the deadly triad which is hypothermia, metabolic acidosis and coagulopathy. Conclusions:the patients in the productive age are most affected. The principal mechanism of action is injuries by a firearm projectile.It has a high morbimortality related to these patients, such as sepsis and fistulas, associating mainly the mortality to themultiple organ failure and the presence of hypovolemic shock. (MÉD.UIS. 2011;24(2):185-8).Key words: Trauma. Hypothermia. Acidosis.