Laparoscopy for Non-trauma Emergencies
Fig. 7.1 Setup of the operating table and the positioning of the patient The surgeon should be able to move to either side or between the legs as necessary or…
Necrotizing Soft Tissue Infections
Fig. 24.1 Type of infective disease according to anatomical layer ): 1. Skin 2. Subcutaneous tissue 3. Muscles (separated from subcutaneous tissue by fascia or aponeurosis) Three…
Stomach and Duodenum
Fig. 13.1 Gastric body partition, gastrojejunostomy, and simple closure of the perforated peptic ulcer. A lateral duodenostomy may be added for bile drainage For gastric ulcers While benign gastric ulcers…
Lower Gastrointestinal Endoscopy
Fig. 9.1 Colonic bleeding in colonoscopy High-risk patients may be referred to appropriate institutes. Low-risk patients may be discharged earlier. Management Endoscopy can be used as a potential therapeutic tool…
Diaphragmatic Problems for the Emergency Surgeon
Fig. 21.1 Key anatomy of the diaphragm. (a) Diaphragm viewed from the abdomen. Heavy dotted lines show the paths of phrenic nerves. Dark lines show potential incisions which can be…
Gynecologic Considerations for the Acute Care Surgeon
Fig. 22.1 Common sites of ectopic pregnancy Symptoms and Signs The triad of amenorrhea, vaginal bleeding, and lower abdominal pain in sexually active women should raise the suspicion for an…
Laparotomy
Fig. 8.1 Steps of midline xipho-pubic incision 1. Place a pad on each side of the planned incision. 2. Maintain equal traction on each side and use the scalpel…
Vascular Emergencies
Embolism Thrombosis No previous symptoms History of claudication Obvious source of emboli (atrial fibrillation, myocardial infarction, aorta, popliteal aneurysm) No source of emboli (atheromatosis, vessel stenosis) Sudden onset Long history…