Un-Stick from the Point
Patients referring to the Emergency Department with bowel obstruction secondary to adhesions are quite common in every kind of hospital. Embarking in a surgical procedure may be the best way to disaster. Conservative treatment is increasingly the first-line treatment choice; however, how to perform it and how long to continue it before changing the approach is pivotal in managing these patients.
Like Vampires Drinking Holy Water – Part 2
How to make an accurate grading of caustic injuries and how to treat them properly... Here you can find all the answers you are looking for...
Like Vampires Drinking Holy Water – Part 1
One of the most fearsome and unpredictable events we may face as surgeons in the Emergency Room... Patients coming in after caustic ingestion enclose a vast spectrum of injuries: from none to complete necrosis of the upper gastrointestinal tract... Making a correct diagnosis and defining a precise grading is essential to plan the best following management...
Escaping Oceanic Flight 815
Sometimes, during a cholecystectomy performed for acute cholecystitis, you may find yourself stuck in a difficult situation... Adhesions and fibrosis may prevent a safe dissection, and obtaining an adequate Critical View of Safety is quite impossible. In these cases, the bail-out procedures might be useful to avoid intra- and postoperative complications...
The Spice That Makes Things Hot
Sometimes the open abdomen and appropriate resuscitation are not enough to make patients recover from their pathological state... In these rare but threatening events, direct peritoneal resuscitation comes handy to help and fasten patients' healing.
