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…
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…
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,…
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…
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…
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…
Abdominal Compartment Syndrome and Open Abdomen for Trauma
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…
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…
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…
