COMPARATIVE ANALYSIS OF DAMAGE CONTROL SURGERY VERSUS DEFINITIVE SURGERY IN TRAUMA CARE
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Abstract
Introduction: Effective management of traumatic injuries often determines patient outcomes, with timely and appropriate surgical intervention being paramount.
Objective: The main objective of the study is to find the comparative analysis of damage control surgery versus definitive surgery in trauma care.
Methodology of the study: This comparative study was conducted at Surgical Department Lady Reading hospital Peshawar during April 2022 to April 2024. Data were collected from 220 patients with age >18 years. Demographic and clinical data, including age, sex, mechanism of injury, and initial physiological parameters, blood pressure, heart rate, Glasgow Coma Scale were extracted from the EMRs and trauma registry.
Results: Data were collected from 220 patients. The average age was 35.6 ± 12.4 years in the DCS group and 34.8 ± 11.9 years in the DS group. Both groups had a similar male predominance, with 70% in the DCS group and 68% in the DS group. In terms of surgical procedures, 85% of the DCS group underwent hemorrhage control compared to 50% in the DS group. Temporary abdominal closure was performed in 75% of DCS patients, while no such procedures were needed in the DS group. Contamination control was necessary for 65% of the DCS group.
Conclusion: Damage Control Surgery (DCS) is essential for stabilizing critically injured patients with severe physiological instability, Definitive Surgery (DS) yields better overall outcomes, including fewer complications, shorter hospital stays, and improved functional recovery
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Dr. Gul Sharif
Assistant Professor Surgery, Lady Reading Hospital Peshawar
Dr. Ahmad Faraz
Assistant Professor Surgery, Lady Reading Hospital Peshawar
Sadaf Khalid
Senior Clinical Fellow Barnet General Hospital, Royal Free London NHS Foundation Trust
Dr. Komal Khalid
Senior House Officer, General Surgery, Services Hospital Lahore
Dr. Syna Pervaiz Singha
Associate Professor Anatomy, Isra University Hyderabad
Dr. Abroo Fatima Qazi
Associate Professor Physiology, Isra University Hyderabad