Thoracic Key

Fig. 2.1 Seat belt injury to the left flank As the next step in the work-up after the clinical examination, two imaging studies should be ordered: Ultrasound and computed tomography…

Blunt trauma  Persistent hypotension and clinical evidence of intra-abdominal bleeding (including positive FAST or DPL)  Free air, retroperitoneal air, or evidence of ruptured diaphragm  Contrast-enhanced CT scan suggesting ruptured hollow…

and George Velmahos1 (1) Division of Trauma, Emergency Surgery, and Surgical Critical Care, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA   Abstract The vast majority of traumatic pulmonary injuries…

Fig. 18.1 Open abdomen after 10 days of treatment with low pressure NPWT. Bowel loops looks vital and healthy and free of adhesions Fig. 18.2 Free bowel loops after 16…

Fig. 17.1 Zones of retroperitoneal injury. 1 zone I, central (injuries to aorta and caval vein and their main branches as well as duodenum and pancreas), 2 zone II, lateral…

Grade I Contusion or hematoma Hematuria, subcapsular non-expanding hematoma Grade II Laceration <1 cm parenchymal depth without collecting system invasion Grade III Laceration >1 cm parenchymal depth without collecting system…

Fig. 9.1 The long stem of endo-GIA allows to easily staple the splenic hilum by using only one hand Fig. 9.2 Endo-GIA stapling the splenic hilum, while the left hand…

Fig. 13.1 Decisional flowchart in traumatic abdominal hollow viscus injuries The use of abdominal CT scan has resulted in an increase in nonoperative management of solid organ injury. Concomitant simultaneous…

Fig. 7.1 (a) Anterior view. (b) Posterior view. The diagram shows the utilization of a pedicled pericardial patch in the repair of a wide gap in the wall of the…