J.Jpn. Surg. Soc.. 127(4): 391-398, 2026

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Feature topic

DAMAGE CONTROL SURGERY IN THE FIELD OF EMRGENCY GENERAL SURGERY

Damage control surgery (DCS), first established in trauma surgery in the 1990s, has progressively been incorporated into the field of emergency general surgery (EGS). Initially applied to severe intraabdominal sepsis such as bowel necrosis and lower gastrointestinal perforation, its indications have expanded to include uncontrollable hemorrhage, complex thoracic bleeding, and necrotizing soft tissue infections (NSTI). The concept of DCS emphasizes staged management for physiologically exhausted patients, prioritizing rapid source control and temporary closure over definitive repair. The widespread adoption of negative-pressure wound therapy (NPWT) has facilitated temporary abdominal closure (TAC), making staged approaches more accessible in nontrauma settings.

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