The damage control surgery is one of the greatest advances in the last 20 years, and is technically the most difficult surgery that a trauma surgeon can realize. The central objective 01 the damage control surgery is to avoid the installation of the metabolic failure because the politraumatized patients die more because of the metabolic failure than the fail in repairing the lesions. This metabolic failure is established rapidly in patients who had suffer trauma associated to important blood loss, and once established it turns into a vicious circle very difficult to stop. Our intention is to present the case and the evolution of a patient with close abdominal trauma and severe liver damage that produced an abundant bleeding and the accurate and rapid surgical treatment that contributed to the results in the handling of the patient by a team in spite of the limitations of our institution, using modern technology and concepts thus diminishing the morbid-mortality.
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