Major Retroperitoneal Vascular Trauma
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…
Surgical Treatment of Kidney and Urinary Tract Trauma
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…
Surgical Treatment of Spleen Trauma
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…
Traumatic Small Bowel and Mesentery Injuries (SBMI)
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…
Surgical Treatment of Thoracic Trauma: Mediastinum
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…
Selective Nonoperative Management of Penetrating Trauma of the Abdomen
9. Zubowski R, Nallathambi M, Ivatury R et al (1988) Selective conservatism in abdominal stab wounds. The efficacy of serial physical examination. J Trauma 28:1665–1668PubMedCrossRef 10. Leppaniemi AK, Haaipianen RK…
Gynecological and Obstetric Injuries
Gradea Description of injury I Contusion/hematoma II Superficial laceration (<1 cm) III Deep laceration (≥1 cm) IV Laceration involving uterine artery V Avulsion/devascularization aAdvance one grade for bilateral injuries up…
Surgical Management of Traumatic Colon and Rectal Injuries
Technique Ideal situation Advantages Pitfalls Primary repair Simple, clean laceration Rapid Potential for leak “One-step operation” Segmental resection and anastomosis Multiple lacerations, injuries close to mesenteric border – or those…
Surgical Treatment of Gastric Injury
Grade Finding Treatment I Intramural hematoma or superficial laceration Observation and/or drain II <2 cm laceration of pylorus or GE junction End-to-end anastomosis <5 cm laceration of proximal one-third of…
Pelvic Damage Control
Fig. 5.1 Clinical pathway for hemodynamically unstable patient with mechanical unstable fracture pattern 5.5.1 Hemodynamically Unstable Patient After clinical evaluation and POD placement, anteroposterior supine pelvis x-ray is obtained. If…
