Schein's Common Sense Emergency Abdominal Surgery An Unconventional

Emergency Abdominal Surgery is a battleground for the surgeon - providing character-building experiences, and opportunities for triumph and disaster. In the third  edition of this 'simple' book, emergency abdominal surgery is discussed in an inf

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Moshe Schein · Paul N. Rogers · Ahmad Assalia (Editors) Schein’s Common Sense Emergency Abdominal Surgery

“The thinking surgeon”. Oil on canvas. By Dan Schein http://danschein.com/home.html



Moshe Schein • Paul N. Rogers • Ahmad Assalia (Editors)

Schein’s Common Sense Emergency Abdominal Surgery An unconventional book for trainees and thinking surgeons

Third Edition

With 133 Figures and 30 Tables

123

Moshe Schein, MD, FACS, FCS (SA), Attending Surgeon, Marshfield Clinic, Ladysmith Center, 906 College Avenue, Ladysmith, WI 54848, USA [email protected], www.docschein.com Paul N. Rogers, MBChB, MBA, MD, FRCS, Consultant General and Vascular Surgeon, Department of Surgery, Gartnaval General Hospital, Glasgow, Scotland, UK [email protected] Ahmad Assalia, MD, FACS, Deputy Director and Chief of Advanced ­L aparoscopic Surgery, Department of Surgery B, Rambam Health Care Campus. Senior Lecturer in Surgery, Faculty of Medicine, Technion, Israeli Institute of Technology, Haifa, Israel [email protected]  ditorial Adviser: Robert Lane, MD, FRCSC, FACS, Bowmanville, E Ontario, Canada Graphics: Evgeny E. (Perya) Perelygin, MD Front painting : Dan Schein (www.danschein.com) “The thinking surgeon”, oil on canvas ISBN: 978-3-540-74820-5

e-ISBN: 978-3-540-74821-2

DOI: 10.1007/978-3-540-74821-2 Springer Heidelberg Dordrecht London New York Library of Congress Control Number: 2009921989 © Springer-Verlag Berlin Heidelberg 2010 This work is subject to copyright. All rights are reserved, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilm or in any other way, and storage in data banks. Duplication of this publication or parts thereof is permitted only under the provisions of the German Copyright Law of September 9, 1965, in its current version, and permission for use must always be obtained from Springer. Violations are liable to prosecution under the German Copyright Law. The use of general descriptive names, registered names, trademarks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant p ­ rotective laws and regulations and therefore free for general use. Product liability: The publishers cannot guarantee the accuracy of any information about dosage and application contained in this book. In every individual case the user must check such information by consulting the relevant literature.

Cover design: eStudio Calamar Figueres/Berlin Printed on acid-free paper Springer is part of Springer Science+Business Media (www.springer.com)



MS dedicates this book to his late father Karl Schein, a surgeon on the Eastern front during World War II and later in Haifa, Israel.

Karl Schein, 1911–1974



Editors’ Note

This book has been assembled—in pieces—during long years of intensive personal involvement, clinical and academic, urban and rural, with emergency abdominal surgery in South Africa,