Objective: The aim of this case series is to describe the
experience of implementing damage control resuscitation
(DCR) in patients with major obstetric hemorrhage (MOH)
between January 2005 and December 2015 in the Fundación
Valle del Lili, Cali, Colombia.
Materials and methods: This is a prospective descriptive study
of a case series from 108 patients with MOH who were subjected
to DCR. All patients were operated on using a standardized
surgical technique in accordance with the institutional protocol.
Results: The median age was 28 years, with a gestational age
of 38 weeks. The principal associated diagnosis was severe
preeclampsia (in 39% of cases). A total of 96 patients presented
massive postpartum hemorrhage, and 75% of these cases
presented after a cesarean section. In all patients, normal control
of bleeding was achieved, 60% during the first surgical period.
The Acute Physiology and Chronic Health Evaluation score was
14, with an overall mortality of 6.48%, far below the expected
mortality according to the clinical severity of these patients.
Conclusion: This study includes the biggest series of pregnant
women with MOH, in a critical condition, in whom DCR was
used, during which rapid control of bleeding was achieved,
associated with a significantly lower mortality than expected.
Keywords: Emergency treatment, Hypovolemic shock,
Postpartum hemorrhage, Surgical intensive care.
How to cite this article: Escobar MF, Carvajal JA, Burgos JM,
Messa A, Ordoñez CA, García AF, Granados M, Forero AM,
Casallas JD, Thomas LS, Nieto AJ. Damage Control Surgery for
the Management of Major Obstetric Hemorrhage: Experience
from the Fundación Valle Del Lili, Cali, Colombia. Panam J
Trauma Crit Care Emerg Surg 2017;6(1):1-7.
Source of support: Nil
Conflict of interest: None