With an emphasis on the “hows and whys” of contemporary surgery, Operative Techniques in Trauma and Critical Care features concise, bulleted text, full-color illustrations, and intraoperative photographs to clarify exactly what to look for and how to proceed. Drawn from the larger Operative Techniques in Surgery, Second Edition, this newly stand-alone surgical atlas, overseen by editor-in-chief Mary T. Hawn and meticulously edited by Dr. Amy J. Goldberg, focuses on the steps of each technique, rapidly directing you to the information you need to choose the right approach for each patient, perform it successfully, and achieve the best possible results.
1. Cover - p. Cover 2. Title Page - p. iii 3. Copyright - p. iv 4. Contributing Authors - p. v 5. Series Preface - p. ix 6. Preface - p. x 7. Contents - p. xii 8. Video Contents List - p. xv 9. Section I Thermal Injury - p. 1 10. 1 Burn Surgery: Escharotomy, Excision, and Split-Thickness Skin Grafting - p. 1 11. Definition - p. 1 12. Differential Diagnosis - p. 1 13. Patient History and Physical Findings - p. 1 14. Imaging and Other Diagnostic Studies - p. 1 15. Surgical Management - p. 2 16. POSTOPERATIVE CARE - p. 6 17. 2 Frostbite and Hypothermia: Surgical Management - p. 7 18. Definition - p. 7 19. Differential Diagnosis - p. 7 20. Patient History and Physical Findings - p. 7 21. Imaging and Other Diagnostic Studies - p. 7 22. Surgical Management - p. 8 23. POSTOPERATIVE CARE - p. 9 24. Complications - p. 9 25. 3 Electrical Burns - p. 10 26. Definition - p. 10 27. Differential Diagnosis - p. 10 28. Patient History and Physical Findings - p. 10 29. Imaging and Other Diagnostic Studies - p. 10 30. Surgical Management - p. 11 31. Preoperative Planning - p. 11 32. POSTOPERATIVE CARE - p. 12 33. Complications - p. 12 34. Section II Infection - p. 13 35. 4 Decision-Making and Operative Management of Necrotizing Soft Tissue Infections - p. 13 36. Definition - p. 13 37. Differential Diagnosis - p. 13 38. Patient History and Physical Findings - p. 13 39. Imaging and Other Diagnostic Studies - p. 13 40. Surgical Management - p. 14 41. POSTOPERATIVE CARE - p. 17 42. Complications - p. 17 43. Section III Traumatic Injury to the Chest Wall, Pleura, and Diaphragm - p. 19 44. 5 Rib Plating - p. 19 45. Definition - p. 19 46. Classification - p. 19 47. Patient History and Physical Findings - p. 20 48. Imaging and Other Diagnostic Studies - p. 20 49. Surgical Management - p. 20 50. POSTOPERATIVE CARE - p. 25 51. Complications - p. 25 52. 6 Needle Decompression, Tube Thoracostomy, Thoracentesis - p. 27 53. Definition - p. 27 54. Differential Diagnosis - p. 27 55. Patient History and Physical Findings - p. 27 56. Imaging and Other Diagnostic Studies - p. 28 57. Surgical Management - p. 28 58. POSTOPERATIVE CARE - p. 33 59. Complications - p. 33 60. 7 Pleurodesis - p. 35 61. Definition - p. 35 62. Imaging and Other Diagnostic Studies - p. 35 63. Surgical Management - p. 35 64. POSTOPERATIVE CARE - p. 38 65. Complications - p. 38 66. 8 Video-Assisted Thoracoscopic Surgery for Retained Hemothorax and Empyema - p. 39 67. Definition - p. 39 68. Differential Diagnosis - p. 39 69. Patient History and Physical Findings - p. 39 70. Imaging and Other Diagnostic Studies - p. 39 71. Surgical Management - p. 39 72. POSTOPERATIVE CARE - p. 43 73. Complications - p. 43 74. 9 Repair of Diaphragmatic Injury (Primary and Mesh) - p. 45 75. Definition - p. 45 76. Differential Diagnosis - p. 45 77. Patient History and Physical Findings - p. 45 78. IMAGING AND OTHER DIAGNOSTIC STUDIES - p. 45 79. Surgical Management - p. 46 80. POSTOPERATIVE CARE - p. 48 81. Complications - p. 48 82. Section IV Thoracic Traumatic Injuries - p. 50 83. 10 Thoracic Incisions: Median Sternotomy, Anterolateral Thoracotomy, Bilateral Thoracotomy, Posterolateral Thoracotomy - p. 50 84. Definition - p. 50 85. Differential Diagnosis - p. 50 86. Patient History and Physical Findings - p. 50 87. Imaging and Other Diagnostic Studies - p. 52 88. Surgical Management - p. 53 89. POSTOPERATIVE CARE - p. 58 90. Complications - p. 58 91. 11 Pericardial Window: Subxiphoid, Parasternal - p. 60 92. Definition - p. 60 93. Differential Diagnosis - p. 60 94. Patient History and Physical Findings - p. 60 95. Imaging and Other Diagnostic Studies - p. 60 96. Surgical Management - p. 61 97. POSTOPERATIVE CARE - p. 64 98. Complications - p. 64 99. 12 Repair of Cardiac Injury - p. 65 100. Definition - p. 65 101. Differential Diagnosis - p. 65 102. Patient History and Physical Findings - p. 65 103. Imaging and Other Diagnostic Studies - p. 65 104. Surgical Management - p. 65 105. POSTOPERATIVE CARE - p. 71 106. Complications - p. 71 107. Outcomes - p. 71 108. 13 Surgical Management of Lung Trauma: Tractotomy, Wedge Resection, and Lobectomy - p. 73 109. Definition - p. 73 110. Differential Diagnosis - p. 73 111. Patient History and Physical Findings - p. 73 112. Imaging and Other Diagnostic Studies - p. 73 113. Surgical Management - p. 74 114. POSTOPERATIVE CARE - p. 79 115. Complications - p. 79 116. 14 Pneumonectomy for Trauma - p. 80 117. Definition - p. 80 118. Differential Diagnosis - p. 80 119. Patient History and Physical Examination - p. 80 120. Imaging and Other Diagnostic Studies - p. 80 121. Pulmonary Anatomy and Physiology - p. 80 122. Surgical Management - p. 82 123. POSTOPERATIVE CARE - p. 86 124. Complications - p. 87 125. 15 Arterial: Subclavian, Thoracic Aorta, Endovascular - p. 88 126. Definition - p. 88 127. Patient History and Physical Findings - p. 88 128. Differential Diagnosis - p. 88 129. Surgical Management - p. 88 130. OUTCOMES - p. 90 131. 16 Thoracic Vascular Injury—Venous: Brachiocephalic Vein, Subclavian Vein - p. 92 132. Definition - p. 92 133. Differential Diagnosis - p. 92 134. Patient History and Physical Findings - p. 92 135. Imaging and Other Diagnostic Studies - p. 92 136. Surgical Management - p. 93 137. POSTOPERATIVE CARE - p. 98 138. Complications - p. 98 139. Section V Injury to the Neck - p. 99 140. 17 Incisions: Anterior Sternocleidomastoid Incision, Collar Incision - p. 99 141. Definition - p. 99 142. Differential Diagnosis - p. 99 143. Patient History and Physical Findings - p. 99 144. Imaging and Other Diagnostic Studies - p. 99 145. Surgical Management - p. 99 146. POSTOPERATIVE CARE - p. 103 147. Complications - p. 103 148. 18 Upper Aerodigestive Tract Injury: Trachea - p. 104 149. Definition - p. 104 150. Differential Diagnosis - p. 104 151. Patient History and Physical Findings - p. 104 152. Imaging and Other Diagnostic Studies - p. 104 153. Surgical Management - p. 104 154. POSTOPERATIVE MANAGEMENT - p. 107 155. Complications - p. 107 156. 19 Surgical Management of Injuries to the Cervical Esophagus - p. 108 157. Definition - p. 108 158. Differential Diagnosis - p. 108 159. Patient History and Physical Findings - p. 108 160. Imaging and Other Diagnostic Studies - p. 108 161. Surgical Management - p. 109 162. POSTOPERATIVE CARE - p. 113 163. Complications - p. 113 164. 20 Repair of Internal and External Carotid Injury - p. 115 165. Definition - p. 115 166. Differential Diagnosis - p. 115 167. Patient History and Physical Findings - p. 115 168. Imaging and Other Diagnostic Studies - p. 115 169. Surgical Management - p. 116 170. POSTOPERATIVE CARE - p. 119 171. Complications - p. 119 172. 21 Vascular Injury—Neck: Internal Jugular Vein - p. 120 173. Definition - p. 120 174. Differential Diagnosis - p. 120 175. Patient History and Physical Findings - p. 120 176. Imaging and Other Diagnostic Studies - p. 120 177. Surgical Management - p. 121 178. POSTOPERATIVE CARE - p. 124 179. Complications - p. 124 180. Section VI Traumatic Injury to the Gastrointestinal Tract - p. 126 181. 22 Trauma Laparotomy - p. 126 182. Definition - p. 126 183. Differential Diagnosis - p. 126 184. Patient History and Physical Findings - p. 126 185. Imaging and Other Diagnostic Studies - p. 127 186. Surgical Management - p. 127 187. POSTOPERATIVE CARE - p. 134 188. Complications - p. 134 189. 23 Gastric and Small Bowel Injury: Primary Repair, Resection, Anastomosis, Wedge Resection - p. 136 190. Definition - p. 136 191. Differential Diagnosis - p. 136 192. Patient History and Physical Findings - p. 136 193. Imaging and Other Diagnostic Findings - p. 136 194. Surgical Management - p. 136 195. Positioning - p. 137 196. POSTOPERATIVE CARE - p. 144 197. Complications - p. 144 198. 24 Colon and Rectal Injury: Primary Repair, Resection and Anastomosis, Colostomy - p. 145 199. Definition - p. 145 200. Differential Diagnosis - p. 145 201. Patient History and Physical Findings - p. 145 202. Imaging and Other Diagnostic Studies - p. 145 203. Surgical Management - p. 145 204. POSTOPERATIVE CARE - p. 151 205. Outcomes - p. 151 206. Complications - p. 151 207. 25 Extraperitoneal Rectal Injury: Colostomy, Presacral Drains - p. 152 208. Definition - p. 152 209. Differential Diagnosis - p. 152 210. Staging - p. 152 211. Patient History and Physical Examination Findings - p. 152 212. Imaging and Other Diagnostic Studies - p. 152 213. Surgical Management - p. 153 214. POSTOPERATIVE CARE - p. 155 215. Complications - p. 156 216. Section VII Traumatic Injury to the Duodenum and Pancreas - p. 157 217. 26 Operative Management of Duodenal Injury - p. 157 218. Definition - p. 157 219. Patient History and Physical Findings - p. 157 220. Imaging and Other Diagnostic Studies - p. 158 221. Surgical Management - p. 158 222. POSTOPERATIVE CARE - p. 161 223. Complications - p. 161 224. 27 Pancreas: Drainage, Distal Pancreatectomy/Splenectomy - p. 163 225. Definitions - p. 163 226. Indications - p. 163 227. Patient History, Physical Findings, and Diagnosis - p. 163 228. Imaging and Other Diagnostic Studies - p. 163 229. Surgical Management - p. 164 230. POSTOPERATIVE CARE - p. 166 231. Complications - p. 166 232. Section VIII Traumatic Injury to the Spleen and Liver - p. 167 233. 28 Splenic Injury: Splenectomy and Splenorrhaphy - p. 167 234. Definition - p. 167 235. Differential Diagnosis - p. 167 236. Patient History and Physical Findings - p. 167 237. Imaging and Other Diagnostic Studies - p. 167 238. Surgical Management - p. 168 239. 29 Surgical Management of Hepatic Trauma - p. 173 240. Definition - p. 173 241. Differential Diagnosis - p. 173 242. Patient History and Physical Findings - p. 173 243. Imaging and Other Diagnostic Studies - p. 173 244. Surgical Management - p. 174 245. POSTOPERATIVE CARE - p. 180 246. Outcomes - p. 180 247. Complications - p. 180 248. Section IX Traumatic Injury to the Genitourinary Tract - p. 182 249. 30 Genitourinary Injury—Kidney: Renorrhaphy, Nephrectomy - p. 182 250. Definition - p. 182 251. Differential Diagnosis - p. 182 252. Patient History and Physical Exam Findings - p. 182 253. Imaging and Other Diagnostic Studies - p. 182 254. Nonoperative Management - p. 183 255. Surgical Management - p. 183 256. POSTOPERATIVE CARE - p. 186 257. Complications - p. 186 258. 31 Genitourinary Injury—Bladder: Extraperitoneal, Intraperitoneal - p. 188 259. Definition - p. 188 260. Differential Diagnosis - p. 188 261. Patient History and Physical Findings - p. 188 262. Imaging and Other Diagnostic Studies - p. 188 263. Surgical Management - p. 189 264. POSTOPERATIVE CARE - p. 193 265. Complications - p. 193 266. 32 Ureter: Proximal Third, Middle Third, Distal Third - p. 194 267. Definition - p. 194 268. Patient History and Physical Examination - p. 194 269. Imaging and Other Diagnostic Studies - p. 194 270. Surgical Management - p. 194 271. Postoperative Care - p. 202 272. Complications - p. 202 273. Section X Pelvic Fracture/Retroperitoneal Hematoma - p. 204 274. 33 Preperitoneal Pelvic Packing - p. 204 275. Definition - p. 204 276. Differential Diagnosis - p. 204 277. Patient History and Physical Findings - p. 204 278. Imaging and Other Diagnostic Studies - p. 205 279. Surgical Management - p. 205 280. POSTOPERATIVE CARE - p. 209 281. Complications - p. 209 282. Section XI Vascular Injury-Abdominal - p. 210 283. 34 Zone I Injuries - p. 210 284. Definition - p. 210 285. Differential Diagnosis - p. 210 286. Patient History and Physical Findings - p. 210 287. Imaging and Other Diagnostic Studies - p. 211 288. Surgical Management - p. 211 289. POSTOPERATIVE CARE - p. 224 290. Complications - p. 224 291. 35 Abdominal Vascular Injury Zone II - p. 225 292. Definition - p. 225 293. Differential Diagnosis - p. 225 294. Patient History and Physical Findings - p. 225 295. Imaging and Other Diagnostic Studies - p. 225 296. Surgical Management - p. 225 297. POSTOPERATIVE CARE - p. 228 298. Complications - p. 229 299. 36 Abdominal Vascular Injury Zone III - p. 230 300. Definitions - p. 230 301. Differential Diagnosis - p. 230 302. Patient History and Physical Findings - p. 231 303. Imaging and Other Diagnostic Studies - p. 231 304. Surgical Management - p. 231 305. POSTOPERATIVE CARE - p. 235 306. Complications - p. 235 307. Section XII Vascular Injury: Extremities - p. 237 308. 37 Lower Extremity Vascular Trauma—Femoral and Popliteal With Infrapopliteal Fasciotomy - p. 237 309. Definition - p. 237 310. Differential Diagnosis - p. 237 311. Patient History and Physical Findings - p. 237 312. Imaging and Other Diagnostic Studies - p. 237 313. Surgical Management - p. 238 314. POSTOPERATIVE CARE - p. 249 315. Complications - p. 249 316. 38 Upper Extremity: Axillary, Brachial, Radial/Ulnar Fasciotomy - p. 250 317. Definition - p. 250 318. Differential Diagnosis - p. 250 319. Patient History and Physical Findings - p. 250 320. Imaging and Other Diagnostic Studies - p. 250 321. Surgical Management - p. 251 322. POSTOPERATIVE CARE - p. 260 323. Complications - p. 260 324. Section XIII Trauma in Pregnancy - p. 262 325. 39 Trauma Cesarean Section - p. 262 326. Definition - p. 262 327. Differential Diagnosis - p. 262 328. Patient History and Physical Exam Findings - p. 262 329. Imaging and Other Diagnostic Studies - p. 262 330. Surgical Management - p. 262 331. POSTOPERATIVE CARE - p. 265 332. Complications - p. 265 333. Section XIV Supportive Procedures - p. 266 334. 40 Cricothyroidotomy - p. 266 335. Definition - p. 266 336. Indications - p. 266 337. Patient History and Physical Findings - p. 266 338. Imaging and Other Diagnostic Studies - p. 266 339. Surgical Management - p. 267 340. POSTOPERATIVE CARE - p. 269 341. Complications - p. 269 342. 41 Tracheostomy: Open and Percutaneous - p. 270 343. Definition - p. 270 344. Differential Diagnosis - p. 270 345. Patient History and Physical Findings - p. 270 346. Imaging and Other Diagnostic Studies - p. 270 347. Surgical Management - p. 271 348. POSTOPERATIVE CARE - p. 276 349. Complications - p. 276 350. Index I-1 - p. 276
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With an emphasis on the “hows and whys” of contemporary surgery, Operative Techniques in Trauma and Critical Care features concise, bulleted text, full-color illustrations, and intraoperative photographs to clarify exactly what to look for and how to proceed. Drawn from the larger Operative Techniques in Surgery, Second Edition, this newly stand-alone surgical atlas, overseen by editor-in-chief Mary T. Hawn and meticulously edited by Dr. Amy J. Goldberg, focuses on the steps of each technique, rapidly directing you to the information you need to choose the right approach for each patient, perform it successfully, and achieve the best possible results.
1. Cover - p. Cover 2. Title Page - p. iii 3. Copyright - p. iv 4. Contributing Authors - p. v 5. Series Preface - p. ix 6. Preface - p. x 7. Contents - p. xii 8. Video Contents List - p. xv 9. Section I Thermal Injury - p. 1 10. 1 Burn Surgery: Escharotomy, Excision, and Split-Thickness Skin Grafting - p. 1 11. Definition - p. 1 12. Differential Diagnosis - p. 1 13. Patient History and Physical Findings - p. 1 14. Imaging and Other Diagnostic Studies - p. 1 15. Surgical Management - p. 2 16. POSTOPERATIVE CARE - p. 6 17. 2 Frostbite and Hypothermia: Surgical Management - p. 7 18. Definition - p. 7 19. Differential Diagnosis - p. 7 20. Patient History and Physical Findings - p. 7 21. Imaging and Other Diagnostic Studies - p. 7 22. Surgical Management - p. 8 23. POSTOPERATIVE CARE - p. 9 24. Complications - p. 9 25. 3 Electrical Burns - p. 10 26. Definition - p. 10 27. Differential Diagnosis - p. 10 28. Patient History and Physical Findings - p. 10 29. Imaging and Other Diagnostic Studies - p. 10 30. Surgical Management - p. 11 31. Preoperative Planning - p. 11 32. POSTOPERATIVE CARE - p. 12 33. Complications - p. 12 34. Section II Infection - p. 13 35. 4 Decision-Making and Operative Management of Necrotizing Soft Tissue Infections - p. 13 36. Definition - p. 13 37. Differential Diagnosis - p. 13 38. Patient History and Physical Findings - p. 13 39. Imaging and Other Diagnostic Studies - p. 13 40. Surgical Management - p. 14 41. POSTOPERATIVE CARE - p. 17 42. Complications - p. 17 43. Section III Traumatic Injury to the Chest Wall, Pleura, and Diaphragm - p. 19 44. 5 Rib Plating - p. 19 45. Definition - p. 19 46. Classification - p. 19 47. Patient History and Physical Findings - p. 20 48. Imaging and Other Diagnostic Studies - p. 20 49. Surgical Management - p. 20 50. POSTOPERATIVE CARE - p. 25 51. Complications - p. 25 52. 6 Needle Decompression, Tube Thoracostomy, Thoracentesis - p. 27 53. Definition - p. 27 54. Differential Diagnosis - p. 27 55. Patient History and Physical Findings - p. 27 56. Imaging and Other Diagnostic Studies - p. 28 57. Surgical Management - p. 28 58. POSTOPERATIVE CARE - p. 33 59. Complications - p. 33 60. 7 Pleurodesis - p. 35 61. Definition - p. 35 62. Imaging and Other Diagnostic Studies - p. 35 63. Surgical Management - p. 35 64. POSTOPERATIVE CARE - p. 38 65. Complications - p. 38 66. 8 Video-Assisted Thoracoscopic Surgery for Retained Hemothorax and Empyema - p. 39 67. Definition - p. 39 68. Differential Diagnosis - p. 39 69. Patient History and Physical Findings - p. 39 70. Imaging and Other Diagnostic Studies - p. 39 71. Surgical Management - p. 39 72. POSTOPERATIVE CARE - p. 43 73. Complications - p. 43 74. 9 Repair of Diaphragmatic Injury (Primary and Mesh) - p. 45 75. Definition - p. 45 76. Differential Diagnosis - p. 45 77. Patient History and Physical Findings - p. 45 78. IMAGING AND OTHER DIAGNOSTIC STUDIES - p. 45 79. Surgical Management - p. 46 80. POSTOPERATIVE CARE - p. 48 81. Complications - p. 48 82. Section IV Thoracic Traumatic Injuries - p. 50 83. 10 Thoracic Incisions: Median Sternotomy, Anterolateral Thoracotomy, Bilateral Thoracotomy, Posterolateral Thoracotomy - p. 50 84. Definition - p. 50 85. Differential Diagnosis - p. 50 86. Patient History and Physical Findings - p. 50 87. Imaging and Other Diagnostic Studies - p. 52 88. Surgical Management - p. 53 89. POSTOPERATIVE CARE - p. 58 90. Complications - p. 58 91. 11 Pericardial Window: Subxiphoid, Parasternal - p. 60 92. Definition - p. 60 93. Differential Diagnosis - p. 60 94. Patient History and Physical Findings - p. 60 95. Imaging and Other Diagnostic Studies - p. 60 96. Surgical Management - p. 61 97. POSTOPERATIVE CARE - p. 64 98. Complications - p. 64 99. 12 Repair of Cardiac Injury - p. 65 100. Definition - p. 65 101. Differential Diagnosis - p. 65 102. Patient History and Physical Findings - p. 65 103. Imaging and Other Diagnostic Studies - p. 65 104. Surgical Management - p. 65 105. POSTOPERATIVE CARE - p. 71 106. Complications - p. 71 107. Outcomes - p. 71 108. 13 Surgical Management of Lung Trauma: Tractotomy, Wedge Resection, and Lobectomy - p. 73 109. Definition - p. 73 110. Differential Diagnosis - p. 73 111. Patient History and Physical Findings - p. 73 112. Imaging and Other Diagnostic Studies - p. 73 113. Surgical Management - p. 74 114. POSTOPERATIVE CARE - p. 79 115. Complications - p. 79 116. 14 Pneumonectomy for Trauma - p. 80 117. Definition - p. 80 118. Differential Diagnosis - p. 80 119. Patient History and Physical Examination - p. 80 120. Imaging and Other Diagnostic Studies - p. 80 121. Pulmonary Anatomy and Physiology - p. 80 122. Surgical Management - p. 82 123. POSTOPERATIVE CARE - p. 86 124. Complications - p. 87 125. 15 Arterial: Subclavian, Thoracic Aorta, Endovascular - p. 88 126. Definition - p. 88 127. Patient History and Physical Findings - p. 88 128. Differential Diagnosis - p. 88 129. Surgical Management - p. 88 130. OUTCOMES - p. 90 131. 16 Thoracic Vascular Injury—Venous: Brachiocephalic Vein, Subclavian Vein - p. 92 132. Definition - p. 92 133. Differential Diagnosis - p. 92 134. Patient History and Physical Findings - p. 92 135. Imaging and Other Diagnostic Studies - p. 92 136. Surgical Management - p. 93 137. POSTOPERATIVE CARE - p. 98 138. Complications - p. 98 139. Section V Injury to the Neck - p. 99 140. 17 Incisions: Anterior Sternocleidomastoid Incision, Collar Incision - p. 99 141. Definition - p. 99 142. Differential Diagnosis - p. 99 143. Patient History and Physical Findings - p. 99 144. Imaging and Other Diagnostic Studies - p. 99 145. Surgical Management - p. 99 146. POSTOPERATIVE CARE - p. 103 147. Complications - p. 103 148. 18 Upper Aerodigestive Tract Injury: Trachea - p. 104 149. Definition - p. 104 150. Differential Diagnosis - p. 104 151. Patient History and Physical Findings - p. 104 152. Imaging and Other Diagnostic Studies - p. 104 153. Surgical Management - p. 104 154. POSTOPERATIVE MANAGEMENT - p. 107 155. Complications - p. 107 156. 19 Surgical Management of Injuries to the Cervical Esophagus - p. 108 157. Definition - p. 108 158. Differential Diagnosis - p. 108 159. Patient History and Physical Findings - p. 108 160. Imaging and Other Diagnostic Studies - p. 108 161. Surgical Management - p. 109 162. POSTOPERATIVE CARE - p. 113 163. Complications - p. 113 164. 20 Repair of Internal and External Carotid Injury - p. 115 165. Definition - p. 115 166. Differential Diagnosis - p. 115 167. Patient History and Physical Findings - p. 115 168. Imaging and Other Diagnostic Studies - p. 115 169. Surgical Management - p. 116 170. POSTOPERATIVE CARE - p. 119 171. Complications - p. 119 172. 21 Vascular Injury—Neck: Internal Jugular Vein - p. 120 173. Definition - p. 120 174. Differential Diagnosis - p. 120 175. Patient History and Physical Findings - p. 120 176. Imaging and Other Diagnostic Studies - p. 120 177. Surgical Management - p. 121 178. POSTOPERATIVE CARE - p. 124 179. Complications - p. 124 180. Section VI Traumatic Injury to the Gastrointestinal Tract - p. 126 181. 22 Trauma Laparotomy - p. 126 182. Definition - p. 126 183. Differential Diagnosis - p. 126 184. Patient History and Physical Findings - p. 126 185. Imaging and Other Diagnostic Studies - p. 127 186. Surgical Management - p. 127 187. POSTOPERATIVE CARE - p. 134 188. Complications - p. 134 189. 23 Gastric and Small Bowel Injury: Primary Repair, Resection, Anastomosis, Wedge Resection - p. 136 190. Definition - p. 136 191. Differential Diagnosis - p. 136 192. Patient History and Physical Findings - p. 136 193. Imaging and Other Diagnostic Findings - p. 136 194. Surgical Management - p. 136 195. Positioning - p. 137 196. POSTOPERATIVE CARE - p. 144 197. Complications - p. 144 198. 24 Colon and Rectal Injury: Primary Repair, Resection and Anastomosis, Colostomy - p. 145 199. Definition - p. 145 200. Differential Diagnosis - p. 145 201. Patient History and Physical Findings - p. 145 202. Imaging and Other Diagnostic Studies - p. 145 203. Surgical Management - p. 145 204. POSTOPERATIVE CARE - p. 151 205. Outcomes - p. 151 206. Complications - p. 151 207. 25 Extraperitoneal Rectal Injury: Colostomy, Presacral Drains - p. 152 208. Definition - p. 152 209. Differential Diagnosis - p. 152 210. Staging - p. 152 211. Patient History and Physical Examination Findings - p. 152 212. Imaging and Other Diagnostic Studies - p. 152 213. Surgical Management - p. 153 214. POSTOPERATIVE CARE - p. 155 215. Complications - p. 156 216. Section VII Traumatic Injury to the Duodenum and Pancreas - p. 157 217. 26 Operative Management of Duodenal Injury - p. 157 218. Definition - p. 157 219. Patient History and Physical Findings - p. 157 220. Imaging and Other Diagnostic Studies - p. 158 221. Surgical Management - p. 158 222. POSTOPERATIVE CARE - p. 161 223. Complications - p. 161 224. 27 Pancreas: Drainage, Distal Pancreatectomy/Splenectomy - p. 163 225. Definitions - p. 163 226. Indications - p. 163 227. Patient History, Physical Findings, and Diagnosis - p. 163 228. Imaging and Other Diagnostic Studies - p. 163 229. Surgical Management - p. 164 230. POSTOPERATIVE CARE - p. 166 231. Complications - p. 166 232. Section VIII Traumatic Injury to the Spleen and Liver - p. 167 233. 28 Splenic Injury: Splenectomy and Splenorrhaphy - p. 167 234. Definition - p. 167 235. Differential Diagnosis - p. 167 236. Patient History and Physical Findings - p. 167 237. Imaging and Other Diagnostic Studies - p. 167 238. Surgical Management - p. 168 239. 29 Surgical Management of Hepatic Trauma - p. 173 240. Definition - p. 173 241. Differential Diagnosis - p. 173 242. Patient History and Physical Findings - p. 173 243. Imaging and Other Diagnostic Studies - p. 173 244. Surgical Management - p. 174 245. POSTOPERATIVE CARE - p. 180 246. Outcomes - p. 180 247. Complications - p. 180 248. Section IX Traumatic Injury to the Genitourinary Tract - p. 182 249. 30 Genitourinary Injury—Kidney: Renorrhaphy, Nephrectomy - p. 182 250. Definition - p. 182 251. Differential Diagnosis - p. 182 252. Patient History and Physical Exam Findings - p. 182 253. Imaging and Other Diagnostic Studies - p. 182 254. Nonoperative Management - p. 183 255. Surgical Management - p. 183 256. POSTOPERATIVE CARE - p. 186 257. Complications - p. 186 258. 31 Genitourinary Injury—Bladder: Extraperitoneal, Intraperitoneal - p. 188 259. Definition - p. 188 260. Differential Diagnosis - p. 188 261. Patient History and Physical Findings - p. 188 262. Imaging and Other Diagnostic Studies - p. 188 263. Surgical Management - p. 189 264. POSTOPERATIVE CARE - p. 193 265. Complications - p. 193 266. 32 Ureter: Proximal Third, Middle Third, Distal Third - p. 194 267. Definition - p. 194 268. Patient History and Physical Examination - p. 194 269. Imaging and Other Diagnostic Studies - p. 194 270. Surgical Management - p. 194 271. Postoperative Care - p. 202 272. Complications - p. 202 273. Section X Pelvic Fracture/Retroperitoneal Hematoma - p. 204 274. 33 Preperitoneal Pelvic Packing - p. 204 275. Definition - p. 204 276. Differential Diagnosis - p. 204 277. Patient History and Physical Findings - p. 204 278. Imaging and Other Diagnostic Studies - p. 205 279. Surgical Management - p. 205 280. POSTOPERATIVE CARE - p. 209 281. Complications - p. 209 282. Section XI Vascular Injury-Abdominal - p. 210 283. 34 Zone I Injuries - p. 210 284. Definition - p. 210 285. Differential Diagnosis - p. 210 286. Patient History and Physical Findings - p. 210 287. Imaging and Other Diagnostic Studies - p. 211 288. Surgical Management - p. 211 289. POSTOPERATIVE CARE - p. 224 290. Complications - p. 224 291. 35 Abdominal Vascular Injury Zone II - p. 225 292. Definition - p. 225 293. Differential Diagnosis - p. 225 294. Patient History and Physical Findings - p. 225 295. Imaging and Other Diagnostic Studies - p. 225 296. Surgical Management - p. 225 297. POSTOPERATIVE CARE - p. 228 298. Complications - p. 229 299. 36 Abdominal Vascular Injury Zone III - p. 230 300. Definitions - p. 230 301. Differential Diagnosis - p. 230 302. Patient History and Physical Findings - p. 231 303. Imaging and Other Diagnostic Studies - p. 231 304. Surgical Management - p. 231 305. POSTOPERATIVE CARE - p. 235 306. Complications - p. 235 307. Section XII Vascular Injury: Extremities - p. 237 308. 37 Lower Extremity Vascular Trauma—Femoral and Popliteal With Infrapopliteal Fasciotomy - p. 237 309. Definition - p. 237 310. Differential Diagnosis - p. 237 311. Patient History and Physical Findings - p. 237 312. Imaging and Other Diagnostic Studies - p. 237 313. Surgical Management - p. 238 314. POSTOPERATIVE CARE - p. 249 315. Complications - p. 249 316. 38 Upper Extremity: Axillary, Brachial, Radial/Ulnar Fasciotomy - p. 250 317. Definition - p. 250 318. Differential Diagnosis - p. 250 319. Patient History and Physical Findings - p. 250 320. Imaging and Other Diagnostic Studies - p. 250 321. Surgical Management - p. 251 322. POSTOPERATIVE CARE - p. 260 323. Complications - p. 260 324. Section XIII Trauma in Pregnancy - p. 262 325. 39 Trauma Cesarean Section - p. 262 326. Definition - p. 262 327. Differential Diagnosis - p. 262 328. Patient History and Physical Exam Findings - p. 262 329. Imaging and Other Diagnostic Studies - p. 262 330. Surgical Management - p. 262 331. POSTOPERATIVE CARE - p. 265 332. Complications - p. 265 333. Section XIV Supportive Procedures - p. 266 334. 40 Cricothyroidotomy - p. 266 335. Definition - p. 266 336. Indications - p. 266 337. Patient History and Physical Findings - p. 266 338. Imaging and Other Diagnostic Studies - p. 266 339. Surgical Management - p. 267 340. POSTOPERATIVE CARE - p. 269 341. Complications - p. 269 342. 41 Tracheostomy: Open and Percutaneous - p. 270 343. Definition - p. 270 344. Differential Diagnosis - p. 270 345. Patient History and Physical Findings - p. 270 346. Imaging and Other Diagnostic Studies - p. 270 347. Surgical Management - p. 271 348. POSTOPERATIVE CARE - p. 276 349. Complications - p. 276 350. Index I-1 - p. 276
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