Cirurgia de controle de danos no trauma abdominal: uma revisão integrativa

Autores

  • Pedro Miranda Vieira Bezerra
  • Mariana de Paula Ferreira
  • Esther Eloisa Magalhães de Paula
  • Eduardo Henrique Antunes Mann

Palavras-chave:

Cirurgia de controle de danos, trauma abdominal, abdome aberto

Resumo

Introdução: A cirurgia de controle de danos (CCD) é uma abordagem cirúrgica abreviada adotada em pacientes críticos, seja por causa traumática ou não. Estes pacientes frequentemente apresentam perda volêmica exacerbada que evolui para hipotermia, acidose e coagulopatia que pode evoluir rapidamente para óbito caso abordagem cirúrgica imediata não seja adotada. A CCD é o tratamento chave para esta condição, composta por três fases: seleção, laparotomia breve, estabilização em UTI e reabordagem cirúrgica definitiva. Objetivo: O objetivo deste estudo é delinear a literatura recente acerca deste tema.  Método: Foi realizada pesquisa eletrônica nas bases de dados BVS, SciELO e PubMED utilizando os descritos “damage control surgery”, “abdominal trauma” e “indication” utilizando o operador booleano “AND”. Resultados: Foram elencados 32 artigos analisados para elaboração do presente trabalho. Estudos abordando a CCD encontram uma grande heretogeneidade de resultados acerca de indicações objetivas para CCD, com grande parte dos estudos apresentando indicadores diversos, além de grande variação de indicação dependente de mecanismo de trauma e faixa etária. As complicações decorrentes do abdome aberto remanescente pós-cirurgia abreviada podem ser graves, e fazem parte da atenção integral ao paciente submetido à CCD. Conclusão: Grande parte dos estudos elenca que revisões sistemáticas adicionais são necessárias para maior consenso de indicação de CCD no trauma agudo. A fisiopatologia da tríade letal é bem estabelecida, e a integração destes conhecimentos na indicação é essencial para seu melhor manejo.

Referências

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Roberts DJ, Ball CG, Feliciano DV, Moore EE, Ivatury RR, Lucas CE, et al. History of the Innovation of Damage Control for Management of Trauma Patients. Annals of Surgery. 2017 May;265(5):1034–44.

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Publicado

2025-09-02

Como Citar

Bezerra, P. M. V., Ferreira, M. de P., Paula, E. E. M. de, & Mann, E. H. A. (2025). Cirurgia de controle de danos no trauma abdominal: uma revisão integrativa. REVISA, 14(3), 1685–1694. Recuperado de https://rdcsa.emnuvens.com.br/revista/article/view/967

Edição

v. 14 n. 3 (2025): REVISA

Seção

Revisão de Literatura

Licença

Copyright (c) 2025 REVISA

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