707 Principles of Damage Control Surgery in Trauma and Beyond: Experience at A Tertiary Centre

Abstract Damage control surgery (DCS) is an abbreviated laparotomy used as a temporising measure in critically unwell patients who have limited physiological reserves to tolerate complex definitive surgeries. The aim of DCS address life-threatening haemorrhage and manage abdominal contamination. Following laparotomy, are continuously resuscitated intensive care unit until stability can be maintained for role the trauma setting well-described; however, its principles also applied General Surgery variety indications such mesenteric ischaemia, uncontrolled haemorrhage, secondary peritonitis. Judicious selection non-trauma patient will benefit from this strategy paramount. We present two cases polytrauma (Patient A), with septic shock B) underwent at our tertiary centre. Patient A 49-year-old male involved road traffic accident sustained multiple injuries including liver laceration, splenic colonic injury. Intra-abdominal packing repair serosal tears were performed, re-look 48 hours later -- no further bleeding or visceral identified. B 51-year-old gentleman re-presented due infected retroperitoneal collection following duodenal ulcer, initially managed radiologically. T tube was inserted into duodenum drains initial DCS. After thorough washout, feeding jejunostomy sited laparotomy. 30-days mortality 0% both under follow-up.