Surgical Treatment of Pancreatic Trauma
Fig. 11.1 CT of a blunt pancreatic injury Fig. 11.2 CT of a gunshot wound of the liver and pancreas Endoscopic retrograde cholangiopancreatography (ERCP) is very useful in identifying injuries…
Surgical Treatment of Liver and Biliary Tree Trauma
Fig. 8.1 The liver is packed with laparotomy pads to provide compression against the abdominal wall, diaphragm, and retroperitoneum Once the liver is packed, the abdomen is rapidly but systematically…
Vascular Damage Control
Fig. 4.1 Tourniquet Fig. 4.2 Digital compression used for acute hemorrhage control Fig. 4.3 Foley catheter used for bleeding control from subclavian vascular injury Fig. 4.4 Foley catheter used for…
Abdominal Wall Reconstruction and Biological Prosthesis
Fig. 19.1 Granulating tissue demonstrating the healing process The implementation in the use of BP has greatly facilitated the complex hernia treatment. This kind of ventral hernia repair represents a…
Thoracic Damage Control
Upon entry into the left hemithorax, the six key goals of resuscitative thoracotomy include: 1. Confirmation of ETT placement 2. Direct control of intrathoracic hemorrhage 3. Pericardiotomy and release of…
Penetrating Trauma of the Chest
Fig. 20.1 Cardiac box Given the orientation of the heart in situ and relative size of the chambers, the right ventricle is at highest risk to an anterior penetrating injury,…
Surgical Treatment of Duodenal Trauma
Grade Types of injury Details I Hematoma Laceration Single hematoma Partial thickness II Hematoma Laceration Distributed in more than one portion <50 % circumference III Lacerations 50–75 % D2 50–100…
Laparoscopy for Trauma: When, What, How?
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…
Trauma Laparotomy
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…
Surgical Treatment of Thoracic Trauma: Lung
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…
