Resuscitation Resequenced
Trauma resuscitation is a complex and dynamic process that requires a high-performing team to optimize patient outcomes. More than 30 years ago, Advanced Trauma Life Support was developed to formalize and…
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Reanimating Patients After Traumatic Cardiac Arrest
Resuscitation of traumatic cardiac arrest is typically considered futile. Recent evidence suggests that traumatic cardiac arrest is survivable. In this article key principles in managing traumatic cardiac arrest are discussed,…
The Human Factor
Resilience is built, not born, and there is no single strategy that reliably manufactures resilient performance in all circumstances. Optimizing team performance in dynamic environments involves the complex interplay of…
Damage Control: Advances in Trauma Resuscitation
Amal Mattu, MD, Consulting Editor When I began emergency medicine training, trauma care was considered exciting and “sexy” to my colleagues and me. There was excitement with every case, and…
Damage Control: Advances in Trauma Resuscitation
EMERGENCY MEDICINE CLINICS OF NORTH AMERICA www.emed.theclinics.com Consulting Editor AMAL MATTU February 2018 • Volume 36 • Number 1
Transabdominal Preperitoneal Patch (TAPP)
Fig. 11.1 Left indirect inguinal hernia Fig. 11.2 Left direct inguinal hernia Fig. 11.3 Mixed hernia (pantaloon) on the right side 11.3.2 11.3.2 Dissection The preperitoneal space is entered through…
Robotic Transabdominal Preperitoneal Inguinal Hernia Repair
Fig. 13.1 Adoption of robotic inguinal hernia repair (courtesy of Intuitive Surgical Inc.) Fig. 13.2 Adoption of robotic ventral hernia repair (courtesy of Intuitive Surgical Inc.) Surgeons who regularly offer…
Minimal Open Preperitoneal (MOPP) Technique
Fig. 10.1 Specific retractor Fig. 10.2 MOPP incision 10.2 10.2 Prosthesis and Instrumentation The prosthesis is selected according to the need to be unrolled in the preperitoneal space, through a…
Total Open Preperitoneal (TOP) Technique (modified Wantz)
Type Localization Features Technique R1 Near the internal inguinal ring First recurrence, reducible, thin patient, wall defect <2 cm Gilbert with plug repair R2 Above the pubic tubercle First recurrence,…
Total Extraperitoneal (TEP) Approach in Inguinal Hernia Repair: the Old and the New
Fig. 12.1 Operating room set-up 12.7 12.7 Surgical Technique 12.7.1 12.7.1 Entering and creating the Preperitoneal Space There are few techniques to enter and create the preperitoneal space. A 10-mm…
