Abdominal Esophagus and Stomach
Fig. 45.1 Gastric injuries may be repaired with a running single-layer closure; full thickness bites of the stomach will ensure hemostasis from the well-vascularized gastric wall Fig. 45.2 Tangential injuries…
Fig. 45.1 Gastric injuries may be repaired with a running single-layer closure; full thickness bites of the stomach will ensure hemostasis from the well-vascularized gastric wall Fig. 45.2 Tangential injuries…
Clinical picture (stable) Interest in penetrating trauma Time of thoracoscopy Diagnosis or Treatment Indication Position Significant hemothorax or continuous bleeding + Immediate Diagnosis: source of the bleeding, complete exploration Discussed,…
Priority Colour Label Immediate Red P1 or T1 Urgent Yellow P2 or T2 Delayed Green P3 or T3 Expectant Blue/black T4 Dead Black/white T0 P or Priority System This has…
Fig. 15.1 Image of a left flail chest (red ellipse) with associated subcutaneous emphysema (red arrow) Soft tissue emphysema is another common abnormality that is often identified on radiographic imaging…
Fig. 82.1 Confirmation of a complex vascular injury that caused exsanguinations. Patient demised on arrival to the emergency department. ERT was not successful Fig. 82.2 En bloc dissection showing a…
Is the patient hemodynamically stable? Blood products available – how many and what type Second surgeon or vascular surgeon available Anesthesia understands the patient status and plan Vascular instruments and…
Fig. 37.1 Chest X-ray demonstrating a large mediastinal haematoma as typically seen in a penetrating injury of the large mediastinal vessels Fig. 37.2 CT angiogram confirming a large mediastinal haematoma…
Fig. 62.1 (a) The patient is in the right lateral decubitus position. Fluoroscopy was used to place an X in the posterior axillary line corresponding to the T12–L1 disc. The…
Fig. 16.1 Stab wound to the left back without intraperitoneal or retroperitoneal penetration Fig. 16.2 Gunshot wound to back with evidence of intraperitoneal penetration. Patient found to have multiple enterotomies…
Fig. 38.1 Cardiac repair via a clamshell thoracotomy incision. The proximal part of the severed left mammary artery is identified and ligated In situations that the patient is not in…