Atlas of surgical techniques in trauma

Using High-quality Intra-operative Photos Of Fresh, Ventilated And Perfused Human Cadavers, This Atlas Of Surgical Techniques Creates A Unique New Resource For Trauma Surgeons. The Critical Aspects Of Each Surgical Exposure And Procedure Are Clearly Demonstrated Step-by-step In These Realistic Models, Allowing The Reader Rapidly To Understand Technical Key Points Which Can Be Complex To Describe. With More Than 600 Illustrations, It Provides A Highly Visual Summary Of The Critical Anatomy, Procedural Sequencing, And Pitfalls Associated With Trauma Procedures. Informed By The Editors' Decades Of Collective Experience In The Field Of Trauma, In Some Of The Busiest Trauma Centers In The World, The Book Is An Invaluable Quick Reference For Both Common And Uncommonly Performed Procedures. As Such, It Is Ideal For Trainee Trauma Surgeons, As Well As Those In Civilian Or Military Practice. Also Of Interest To Trauma Fellows And Emergency Medicine Physicians--provided By Publisher. Machine Generated Contents Note: Dedications; Preface; Acknowledgments; Introduction Kenneth L. Mattox; Part I. Operating Room General Conduct: 1. Trauma Operating Room Kenji Inaba And Lisa L. Schlitzkus; Part Ii. Resuscitative Procedures In The Emergency Room: 2. Cricothyrotomy Peep Talving And Rondi Gelbard; 3. Thoracostomy Tube Insertion Demetrios Demetriades And Lisa L. Schlitzkus; 4. Emergency Room Resuscitative Thoracotomy Demetrios Demetriades And Scott Zakaluzny; Part Iii. Head: 5. Insertion Of Intracranial Pressure Monitoring Catheter Howard Belzberg And Matthew D. Tadlock; 6. Evacuation Of Acute Epidural And Subdural Hematomas Gabriel Zada And Kazuhide Matsushima; Part Iv. Neck: 7. Neck Operations For Trauma: General Principles Emilie Joos And Kenji Inaba; 8. Carotid Artery And Internal Jugular Vein Injuries Edward Kwon, Daniel J. Grabo And George Velmahos; 9. Subclavian Vessels Demetrios Demetriades And Jennifer Smith; 10. Axillary Vessels Demetrios Demetriades And Emilie Joos; 11. Vertebral Artery Injuries Demetrios Demetriades And Nicholas Nash; 12. Trachea And Larynx Elizabeth R. Benjamin And Kenji Inaba; 13. Cervical Esophagus Elizabeth R. Benjamin And Kenji Inaba; Part V. Chest: 14. General Principles Of Chest Trauma Operations Demetrios Demetriades And Rondi Gelbard; 15. Cardiac Injuries Demetrios Demetriades And Scott Zakaluzny; 16. Thoracic Vessels Demetrios Demetriades And Stephen Varga; 17. Lung Injuries Demetrios Demetriades And Jennifer Smith; 18. Thoracic Esophagus Daniel Oh And Jennifer Smith; 19. Diaphragm Injury Lydia Lam And Nicholas Nash; Part Vi. Abdomen: 20. General Principles Of Abdominal Operations For Trauma Heidi L. Frankel And Lisa L. Schlitzkus; 21. Damage Control Surgery Mark Kaplan And Demetrios Demetriades; 22. Gastrointestinal Tract Kenji Inaba And Lisa L. Schlitzkus; 23. Duodenum Edward Kwon And Demetrios Demetriades; 24. Liver Injuries Kenji Inaba And Kelly Vogt; 25. Splenic Injuries Demetrios Demetriades And Matthew D. Tadlock; 26. Pancreas Demetrios Demetriades, Emilie Joos And George Velmahos; 27. Urological Trauma Charles Best And Stephen Varga; 28. Abdominal Aorta And Visceral Branches Pedro G. Teixeira And Vincent L. Rowe; 29. Iliac Injuries Demetrios Demetriades And Kelly Vogt; 30. Inferior Vena Cava Lydia Lam And Matthew D. Tadlock; Part Vii. Pelvis: 31. Surgical Control Of Pelvic Fracture Hemorrhage Peep Talving And Matthew D. Tadlock; Part Viii. Upper Extremities: 32. Brachial Artery Injury Peep Talving And Elizabeth R. Benjamin; 33. Upper Extremity Fasciotomies Jennifer Smith And Mark W. Bowyer; 34. Upper Extremity Amputations Peep Talving And Scott Zakaluzny; Part Ix. Lower Extremities: 35. Femoral Artery Injuries George Velmahos And Rondi Gelbard; 36. Popliteal Artery Peep Talving And Nicholas Nash; 37. Lower Extremity Amputations Peep Talving, Stephen Varga And Jackson Lee; 38. Lower Extremity Fasciotomies Peep Talving, Elizabeth R. Benjamin And Daniel J. Grabo; Part X. Orthopedic Damage Control: 39. Orthopedic Damage Control Eric Pagenkopf, Daniel J. Grabo And Peter Hammer; Index. Edited By Demetrios Demetriades, Kenji Inaba, George Velmahos. Includes Index. Cover Half-title Title page Copyright information Dedication Table of contents List of contributors Preface Acknowledgments Introduction Section 1: Operating Room General Conduct Chapter 1: Trauma operating room Operating room Setup and equipment Warming Blood Section 2: Resuscitative Procedures in the Emergency Room Chapter 2: Cricothyrotomy Surgical anatomy General principles Special instruments Patient positioning Technique Percutaneous cricothyrotomy Open cricothyrotomy Tips and pitfalls Chapter 3 Thoracostomy tube insertion General principles Positioning Site of tube insertion Open technique Percutaneous technique Removal of the chest tube Autotransfusion Tips and pitfalls Chapter 4 Emergency room resuscitative thoracotomy Surgical anatomy General principles Special surgical instruments Positioning Incision Procedure Open cardiac massage Internal cardiac defibrillation Pharmacological treatment of cardiac arrest Epicardial pacing Aortic cross-clamping Air embolism Hilar occlusion Hilar twist Incision closure Tips and pitfalls Section 3: Head Chapter 5: Insertion of intracranial pressure monitoring catheter Surgical anatomy General principles Types of ICP monitoring Intraventricular ICP monitor Intraparenchymal ICP monitor Subarachnoid bolt Epidural or subdural ICP monitor Special surgical instruments Patient position Procedure Intraventricular ICP monitor Intraparenchymal ICP monitor Subarachnoid bolt Epidural and subdural monitor Tips and pitfalls Chapter 6 Evacuation of acute epidural and subdural hematomas Surgical anatomy General principles Indications for surgical intervention Special surgical instruments Patient positioning Incision for craniectomy Tips and pitfalls Burr holes and bone flap removal Tips and pitfalls Evacuation of hematoma and bleeding control Tips and pitfalls Closure Tips and pitfalls Section 4: Neck Chapter 7: Neck operations for trauma: general principles Surface anatomy General principles Positioning Special instruments Skin preparation Incisions Anterior sternocleidomastoid incision Collar incision Clavicular incision Tips and pitfalls Chapter 8 Carotid artery and internal jugular vein injuries Surgical anatomy General principles Special surgical instruments Positioning Incisions Operative technique Exposure Repair Wound closure Tips and pitfalls Chapter 9 Subclavian vessels Surgical anatomy General principles Special surgical instruments Positioning Incisions Exposure through a clavicular incision Exposure through a combined clavicular incision and median sternotomy Exposure through a supraclavicular incision Exposure through a "trap door" incision Vascular reconstruction Wound closure Tips and pitfalls Chapter 10 Axillary vessels Surgical anatomy General principles Special surgical instruments Positioning Incision Vascular exposure Vascular injury management Closure Tips and pitfalls Chapter 11 Vertebral artery injuries Surgical anatomy General principles Special surgical instruments Positioning Exposure of the first part of the VA Incision Exposure Sternocleidomastoid incision approach Incision Exposure Tips and pitfalls Chapter 12 Trachea and larynx Anatomy General principles Instruments Patient positioning Incisions Collar incision Sternocleidomastoid incision Repair Tips and pitfalls Chapter 13 Cervical esophagus Surgical anatomy General principles Special instruments Patient positioning Incision Esophageal exposure Repair Tips and pitfalls Section 5: Chest Chapter 14: General principles of chest trauma operations Surgical anatomy Anterior chest wall Lateral chest wall Posterior chest wall General technical principles Positioning Median sternotomy/anterolateral thoracotomy/ clamshell Posterolateral thoracotomy Incision(s) Median sternotomy Closure of median sternotomy Anterolateral thoracotomy Closure of anterolateral thoracotomy incision Clamshell incision Closure of clamshell incision Posterolateral thoracotomy Closure of posterolateral thoracotomy Tips and pitfalls Chapter 15 Cardiac injuries Surgical anatomy General principles Special surgical instruments Patient positioning Incisions Media sternotomy incision Left thoracotomy incision Tips and pitfalls Pericardiotomy Tips and pitfalls Bleeding control and cardiac repair Pericardial closure Tips and pitfalls Closure of median sternotomy Tips and pitfalls Postoperative evaluation Chapter 16 Thoracic vessels Surgical anatomy General principles Special surgical instruments Patient positioning Positioning for upper mediastinal vascular injuries Positioning for exposure of the descending thoracic aorta Incisions Median sternotomy Clamshell incision Posterolateral thoracotomy Exposures Exposure of the upper mediastinal vessels Exposure of the descending thoracic aorta Management of mediastinal venous injuries Management of mediastinal arterial injuries Innominate artery or proximal right carotid artery Proximal left carotid artery Proximal subclavian artery Descending thoracic aorta Tips and pitfalls Chapter 17 Lung injuries Surgical anatomy General principles Special surgical instruments Anesthesia considerations Positioning Incisions Median sternotomy Anterolateral thoracotomy Clamshell thoracotomy Operative techniques Pneumonorrhaphy Lung tractotomy Wedge resection Non-anatomic lobe resection Pneumonectomy Closure Complications Air embolism Right heart failure Tips and pitfalls Chapter 18 Thoracic esophagus Surgical anatomy General principles Special surgical instruments Anesthesia considerations Patient positioning Incisions Standard posterolateral thoracotomy Exposure of the thoracic esophagus Repair of the esophagus Exposure and repair of the intra-abdominal esophagus Tissue reinforcement options Tips and pitfalls Chapter 19 Diaphragm injury Surgical anatomy General principles Special instruments Laparoscopic repair Positioning Incisions Repair Open repair Positioning Incision Exposure Repair Tips and pitfalls Section 6: Abdomen Chapter 20: General principles of abdominal operations for trauma Surgical anatomy General technical principles Positioning of patient and skin preparation Special instruments Incisions Abdominal exploration Intestinal anastomosis Abdominal closure Tips and pitfalls Chapter 21 Damage control surgery General principles of damage control surgery Damage control in vascular trauma Damage control in the chest Damage control in the extremities Damage control in the abdomen Temporary control of abdominal bleeding Control of intestinal spillage Temporary abdominal wall closure Caution with NPT Comparison of NPT techniques for temporary abdominal closure Definitive fascia closure Tips and pitfalls Chapter 22 Gastrointestinal tract Special surgical instruments Positioning Incisions Stomach Surgical anatomy General principles Distal esophageal injuries Pyloric injuries Tips and pitfalls Small intestine Surgical anatomy General principles Resection versus repair Intestinal anastomosis Tips and pitfalls Colon Surgical anatomy General principles Resection versus repair Wound closure Tips and pitfalls Rectum Surgical anatomy General principles Tips and pitfalls Chapter 23 Duodenum Surgical anatomy General principles Special surgical instruments Positioning Incision Operative technique Exposure Repair Tips and pitfalls Chapter 24 Liver injuries Surgical anatomy General principles Special surgical instruments Positioning Incisions Operative techniques Extrahepatic biliary tract injuries Postoperative complications Tips and pitfalls Chapter 25 Splenic injuries Surgical anatomy General principles Special surgical instruments Positioning and incision Exposure Splenectomy Splenorrhaphy Partial splenectomy Splenic mesh Tips and pitfalls Chapter 26 Pancreas Surgical anatomy General principles Special surgical instruments Positioning Incision Exposure Management of pancreatic injuries Tips and pitfalls Chapter 27 Urological trauma Surgical anatomy Kidney Ureter Bladder Kidney injuries General principles Patient positioning Incision Kidney exposure Proximal renal vascular control Direct kidney exposure without prior vascular control Renal injury repair Partial nephrectomy Nephrectomy Tips and pitfalls Postoperative care Ureter injury General principles Repair of the proximal and mid ureter Repair of the distal ureter Tips and pitfalls Postoperative care Bladder injury General principles Repair of bladder injury Tips and pitfalls Postoperative care Chapter 28 Abdominal aorta and visceral branches Surgical anatomy General principles Special surgical instruments Positioning Incision Exposure Exploration of Zone I Supraceliac aortic control Exposure of the supramesocolic aorta and visceral branches Exposure of the inframesocolic aorta Exploration of Zone II Exploration of Zone III Celiac artery Superior mesenteric artery Renal artery Inferior mesenteric artery Tips and pitfalls Chapter 29 Iliac injuries Anatomy of the iliac vessels General principles Special surgical instruments Positioning Incisions Operative technique Tips and pitfalls Chapter 30 Inferior vena cava Surgical anatomy General principles Special surgical instruments Patient positioning Incisions Exposure Hemorrhage control and caval repair Suprarenal, juxtarenal, and infrarenal IVC Retrohepatic IVC Tips and pitfalls Section 7: Pelvis Chapter 31: Surgical control of pelvic fracture hemorrhage Surgical anatomy General principles Management of pelvic fracture bleeding Damage control operations Special instruments Patient positioning Incision Extra-peritoneal pelvic packing Intraperitoneal damage control Tips and pitfalls Section 8: Upper Extremities Chapter 32: Brachial artery injury Surgical anatomy General principles Special surgical instruments Positioning Incision Exposure Vascular repair Temporary shunt Tips and pitfalls Chapter 33 Upper extremity fasciotomies Surgical anatomy General principles Special surgical instruments Positioning Upper arm fasciotomy Forearm and hand fasciotomies Incisions Fasciotomy wound management Tips and pitfalls Chapter 34 Upper extremity amputations Surgical anatomy General principles Special instruments Patient positioning Above-elbow amputation Incision Procedure Below-elbow amputation Incision Procedure Tips and pitfalls Section 9: Lower Extremities Chapter 35: Femoral artery injuries Surgical anatomy General principles Positioning Incision(s) Exposure and procedure Tips and pitfalls Chapter 36 Popliteal artery Surgical anatomy General principles Special instruments Positioning Incision Exposure Management of the injured vessel Other considerations Tips and pitfalls Chapter 37 Lower extremity amputations Surgical anatomy General principles Special surgical instruments Patient positioning Above-knee amputation (AKA) Tips and pitfalls Below-knee amputation Tips and pitfalls Guillotine amputation (below knee) Postoperative care Chapter 38 Lower extremity fasciotomies Surgical anatomy General principles Special instruments Technique of compartment pressure measurement Gluteal compartment fasciotomy Patient positioning Incisions Procedure Thigh fasciotomy Incisions Procedure Lateral incision Medial incision Lower leg fasciotomy Incisions Lateral incision Medial incision Foot fasciotomy Incisions Procedure Fasciotomy wound management Tips and pitfalls Section 10: Orthopedic Damage Control Chapter 39: Orthopedic damage control General principles Special equipment Positioning of patient Management of specific fractures Mid shaft tibia fracture Distal tibia and fibula fracture/ankle instability Mid-shaft femur fractures Distal femur/proximal tibia "Floating knee" Pin care Tips and pitfalls Index The first atlas of surgical techniques in trauma, using hundreds of high-quality intra-operative photos of fresh human cadavers to create a realistic step-by-step guide to both common and uncommon procedures. Ideal for trainee trauma surgeons, surgeons in civilian or military practice, trauma fellows and emergency medicine physicians.