Rare situations in treatment of polytraumatised patients – case reports
Authors:
A. Nikov; J. Pažin; J. Hadač; F. Bělina; M. Ryska
Authors‘ workplace:
Přednosta: prof. MUDr. M. Ryska, CSc.
; Chirurgická klinika 2. LF Univerzity Karlovy a ÚVN, Praha
Published in:
Rozhl. Chir., 2015, roč. 94, č. 12, s. 535-539.
Category:
Case Report
Overview
Polytrauma is one of the leading causes of mortality in people at productive age. Prompt activation of the rescue system is most important in the treatment. In cases of severe injuries, primary transport to a specialized hospital – trauma center is crucial. Our report is focused on two cases of polytraumatized patients whose treatment was associated with relatively rare situations. One of the patients suffered a pancreatic injury that required pancreaticoduodenectomy. The other patient had a liver injury, which was treated with right lobectomy with a rare complication. The necessity of a multidisciplinary approach to the management of severely injured patients is also emphasized in our report.
Key words:
polytrauma – trauma center – pancreaticoduodenectomy – inferior vena cava stent.
Sources
1. Pape H-C, Peitzman A, Schwab CW, et al. Damage control management in the polytrauma patient. Springer Science+Business Media LLC 2010.
2. Sasser SM, Hunt RC, Faul M, et al. Guidelines for field triage of injured patients, recommendations of the national expert panel of field triage 2011. MMWR Recomm Rep 2012;61:1−20.
3. American College of Surgeons. Committee on Trauma. Advanced trauma life support: Student course manual. 9th ed., Chicago 2012:366.
4. Jaunoo SS, Harji DP. Damage control surgery. Int J Surg 2009;7:110−3.
5. Asensio JA, Feliciano DV, Britt LD, et al. Management of duodenal injuries. Curr Probl Surg 1993;30:1023−93.
6. Krige JE, Kotze UK, Setshedi M, et al. Prognostic factors, morbidity and mortality in pancreatic trauma: a critical appraisal of 432 consecutive patients treated at a Level 1 Trauma Centre. Injury 2015;46:830−6.
7. Kao LS, Bulger EM, Parks DL, et al. Predictors of morbidity after traumatic pancreatic injury. J Trauma 2003;55:898−905.
8. Asensio JA, Demetriades D, Hanpeter DE, et al. Management of pancreatic injuries. Curr Probl Surg 1999;36:325−419.
9. Moore EE, Cogbill TH, Malangoni MA, et al. Organ injury scaling, II: Pancreas, duodenum, small bowel, colon, and rectum. J Trauma 1990;30: 1427−9.
Labels
Surgery Orthopaedics Trauma surgeryArticle was published in
Perspectives in Surgery
2015 Issue 12
Most read in this issue
- Surgery of the hiatal hernia and gastroesophageal reflux dinase, Nissen or Toupet?
- Urgent surgical treatment of gastric volvulus related to upside-down stomach syndrome
- Bile leakage after liver resection: A retrospective cohort study
- Da Vinci assisted surgery for rectal cancer – preliminary results of nonrandomized trial