Indications and Techniques for Trauma Laparotomy
A critical component of the evaluation of an injured patient is assessment for the presence of intra-abdominal injuries. If such injuries are identified or suspected, then a decision must be made as to whether operative exploration is indicated. While the
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The Shock Trauma Manual of Operative Techniques
Thomas M. Scalea Editor
The Shock Trauma Manual of Operative Techniques Second Edition
Editor
Thomas M. Scalea R Adams Cowley Shock Trauma Center University of Maryland Medical System Baltimore, MD USA
ISBN 978-3-030-27595-2 ISBN 978-3-030-27596-9 (eBook) https://doi.org/10.1007/978-3-030-27596-9 © Springer Nature Switzerland AG 2021 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors, and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
For 50 years, the Shock Trauma Center has been a leader in trauma care. For the past 22 years, I have had the privilege of being its chief. This book is dedicated to all of the men and women who are in Shock Trauma: the residents, fellows, faculty, nursing staff, support personnel, and the administration. These people in “pink scrubs” live the dream every day, dedicated to eradicating the consequences of injury. I am eternally grateful for their commitment. We all hope that this book will help further the mission.
Preface
Introduction Operative therapy for trauma is at the center of care of injured patients. This can be for hemorrhage control and/or for repair of visceral injuries. While trauma is the quintessential team sport, the captain of the ship is the general/trauma surgeon. That individual directs the initial evaluation and resuscitation and usually performs the majority of immediate, life-saving surgical procedures. As trauma is a whole-body disease, this may involve operative procedures in the neck, chest, abdomen, retroperitoneum, vasculature, and extremities. Years ago, operative therapy was used for diagnosis and treatment. More recently however, more sophisticated diagnostics have been able to much more precisely diagnose injuries. Nonoperative management has become the norm for many solid visceral injuries and some vascular injuries. Minimally inva
