Blast Injuries

Nov 7, 2017 by in General Surgery Comments Off on Blast Injuries

Fig. 71.1 (a–c) Lower extremity injuries from improvised explosive devices in Iraq war Fig. 71.2 Soldier injured by a buried IED. Note the protection to the torso by the body…

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Airway Management in Penetrating Trauma

Nov 7, 2017 by in General Surgery Comments Off on Airway Management in Penetrating Trauma

Fig. 2.1 The patient was shot with a high-caliber rifle. The entry wound and exit wound demonstrate relatively little damage externally. When the patient was paralyzed, he proved very difficult…

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Spleen

Nov 7, 2017 by in General Surgery Comments Off on Spleen

Grade Description Figure I Capsular tear, <1 cm parenchymal depth 1a II Capsular tear, 1–3 cm parenchymal depth that does not involve a trabecular vessel 1b III >3 cm parenchymal…

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Major Abdominal Veins

Nov 7, 2017 by in General Surgery Comments Off on Major Abdominal Veins

Fig. 52.1 Functional zones of the retroperitoneum Once an intra-abdominal venous injury is identified, you should immediately be planning out your potential operative strategies: to ligate the injured vessel, to…

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Major Abdominal Arteries

Nov 7, 2017 by in General Surgery Comments Off on Major Abdominal Arteries

Artery Primary repair Graft or vein Ligate? Recommendations Aorta Prolene 3-0 or 4-0 Dacron 14–20 mm No Prefer left medial visceral rotation exposure Splenic N/A N/A Yes Splenectomy Common hepatic…

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The Pediatric Patient

Nov 7, 2017 by in General Surgery Comments Off on The Pediatric Patient

Adolescents Children Gunshot wounds homicidal Accidental gunshot injuries Gunshot wounds suicidal Gunshot wounds homicidal Stab injuries usually with knives or similar Penetrating stab injuries Arrows and other missiles Non-powder gun…

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Loss of the Chest Wall

Nov 7, 2017 by in General Surgery Comments Off on Loss of the Chest Wall

Fig. 41.1 Chest wall defect 5–10 cm in diameter with open pneumothorax, comminuted rib fractures, intercostal muscle tearing, and underlying pulmonary injury After airway management, examine the edges of the…

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