By LD Britt MD, Andrew Peitzman MD, Phillip Barie MD, Gregory Jurkovich MD
Relying primarily on evidence-based content material instead of idea, all of the sixty four chapters during this ebook highlights leading edge advances within the box and underscores state of the art administration paradigms.
The overarching precept of acute care surgical procedure is early and expedient medical/surgical intervention and this ebook bargains the reference fabric each trauma, serious care, and emergency room medical professional must carry on that principle.
• Editors and participants are famous leaders of their respective parts of interest
• remarkable controversies are mentioned intimately and infrequently observed by way of data-driven resolutions
• Over four hundred illustrations
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Additional info for Acute Care Surgery
The falciform ligament is taken off the diaphragm posteriorly to the bare area. The right and left triangular ligaments are dissected with the cautery, along extension to the corresponding coronary ligaments. Further dissection of the coronary ligaments to the bare area will allow full mobilization of the liver into the surgical field. Careful dissection of the bare area will allow access to the suprahepatic inferior vena cava. If the plane in the bare area is difficult to develop, a transverse incision in the diaphragm here will gain access to the pericardium and intrapericardial control of the inferior vena cava can be achieved.
2000;106(2 pt 1):362-366. 57. Croce MA, et al. Nonoperative management of blunt hepatic trauma is the treatment of choice for hemodynamically stable patients. Results of a prospective trial. Ann Surg. 1995;221(6):744-753; discussion 753-755. 58. Malhotra AK, et al. Blunt hepatic injury: a paradigm shift from operative to nonoperative management in the 1990s. Ann Surg. 2000;231(6):804-813. 59. Delius RE, Frankel W, Coran AG. A comparison between operative and nonoperative management of blunt injuries to the liver and spleen in adult and pediatric patients.
65. Wahl WL, et al. The need for early angiographic embolization in blunt liver injuries. J Trauma. 2002;52(6):1097-1101. 66. Johnson JW, et al. Hepatic angiography in patients undergoing damage control laparotomy. J Trauma. 2002;52(6):1102-1106. 67. Mohr AM, et al. Angiographic embolization for liver injuries: low mortality, high morbidity. J Trauma. 2003;55(6):1077-1081; discussion 1081-1082. 68. Hagiwara A, et al. The usefulness of transcatheter arterial embolization for patients with blunt polytrauma showing transient response to fluid resuscitation.